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2023 Smithville Spirit Clinic
Perform at a Varsity football game with the Dazzlers and Cheerleaders!
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What grade is the performer in this school year?
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
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Performer's Last Name
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Performer's First Name
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T shirt size
Child XS
Child S
Child M
Child L
Adult S
Adult M
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What school does the performer attend?
Horizon
Eagle
Maple
Other
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I will pay $30 in the following way:
I will bring exact cash the night of the event
I will bring a check with my driver's licence number and DOB written on the check the night of the event.
I will prepay through Venmo: @Smithville-Dazzlers. PLEASE write your child's first and last name and "clinic" in the memo.
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Performer's Guardian + phone number in case of emergency:
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I understand a certain amount of risk accompanies any physical activity. I agree to not hold Smithville School District or any coaches liable if my child gets hurt during this event.
Yes
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I need the coaches to know about my performer's medical condition, described below:
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