25-26 Kingwood Fillies Middle and High School Intensive

Come join the Kingwood Fillies for their first annual middle and high school intensive. You will not want to miss this!

Guest Instructor Announcement, Coming Soon!!

Date: Saturday, October 4

Location: Kingwood High School

Time: 10:00 AM - 3:00 PM

Cost: $100 per dancer (For an additional $25, Perform a one-minute solo to win a chance to dance in the Fillies' spring show!)

Intensive Registration Includes:

Intensive t-shirt: *Must register by September 17th to guarantee t-shirt.
Concessions stand: One complimentary snack item will be provided; additional snacks and drinks can be purchased for $1 per item (Cash only - please pack your dancer cash).
Lunch is not included.

Item Description		Price
Dancer first and last name Participant Grade:* Participant's t-shirt size:* Parent Email Home Address Parent to contact during clinic if needed Parent Cell Phone Number Secondary Contact Name during clinic if needed Please list a second person not listed above as an emergency contact Secondary Contact Cell Phone Number to call during clinic if needed Medical Conditions Photo Release I herby give permission for my child's photo to be taken by the Kingwood Fillies. Medical Release* I herby give my permission for any and all medical attention necessary to be administered to my child. I understand and accept that the risk of injury is possible while participating in any athletic/dance activities. I agree to accept full responsibility for any medical charges on my child's behalf. Sign Name By typing your name you consent to the medical release form. Date
	Middle School and High School Dance Intensive more Cost: $100 per dancer for dance intensive from 10:00 AM - 3:00 PM	$100.00
	Intensive One-Minute Solo Performance Add-on more Perform a one-minute solo to win a chance to dance in the Fillies' spring show!	$25.00

Thank You for Your Purchase!