Har-Ber Cheer Clinic
Clinic: Wednesday, October 20th *K-7th Grades
At: HBHS Gymnasium 5:00pm – 7:00pm

Pre-Registration - $30 Includes T-Shirt (Registration MUST be received by OCTOBER 15th!!!!
To receive t-shirt)
$35 at the door – you are not guaranteed a t-shirt

Game: Thursday, October 21st at Har-Ber High Stadium at the Central vs. Siloam Springs Game
Game: Participants will perform between the two games (arrive at 5:30pm)

You can fill out the form and venmo @Har-ber Cheer OR mail your registration with money or a check to HBHS, 300 Jones Ave., Springdale, AR 72762 Attn: Tiffany Dykes
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Student Name *
Student Age *
Student Grade *
Student School *
Students Shirt Size *
We give permission for my child to participate in the above activity and agree that (Student’s Name) our child will be expected to conform to the same rules of behavior as are expected at school. I/we understand the risk of injury and hereby agree to hold harmless and free blame from the school district, school and its employees in the event of injury. Please Sign and date below! *
We hereby give permission for the cheer or dance sponsor to authorize medical treatment for our son/daughter in the case of emergency. Please sign and date below! *
PLEASE LIST ANY ALLERGIES OR MEDICAL CONDITIONS YOUR CHILD MAY HAVE
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