Motions and Dance Clinic - February 2, 2023
After filling out the form, please make payment at myschoolbucks.com under DMS Cheer for $20.00. A waiver will be signed upon arrival to the clinic. Clinic is closed to everyone except the participant. This includes viewing during the clinic.
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Is your student currently in 5th-8th grade? 

If yes, please continue. 
If no, they are not eligible to register for this particular clinic. 
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What grade is your student currently in? *
Does your student want to tryout for the DMS Cheer team this year? *
Which school does your student currently attend? *
Parent/Guardian Name
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Relationship to Participant
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Parent/Guardian Telephone Number *
Parent/Guardian Email *
Emergency Contact (Besides Parent/Guardian Listed)
Name and Number
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Does the Participant have any Allergies or Medical Needs we need to be aware of? 

Please list below:
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I understand if an accident happens and medical attention is needed parent/guardian will be contacted immediately, but in severe cases an ambulance might be called as well.
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Required
I consent to filling out a participation waiver upon arrival at DMS the day of the clinic. If the waiver is not signed, then participation will not be allowed and no refund will be given.
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Required
This is a closed clinic. The drop-off and pick-up area will be in the cafeteria and the participant will only be released to the person listed on this form with their ID shown. 
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If another person besides the person on the form is picking up your student, please list here. Once again, the student will only be released to this person or the one on the form with proper ID.
Payments of $20 are to be made on Myschoolbucks.com to Daphne Middle School Cheer 
*Please make sure it is the Middle School account and not the High School account!* 

Registration will be 100% once this form and payment are received. Confirmation will be sent via email.
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Required
If you have issues, please email sadillon@bcbe.org.
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Required
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