Tri-City Dance Twirlers Registration Dates
If you are twirling at a school location you can either register at one of our locations listed below or mail in the registration form to our studio address (3692 County Road 561 Tavares, FL 32778).
There is a registration fee of $35.00.
This includes a TCDT t-shirt, ribbons and tape for all parades, and glow products for our night parade.
REGISTER AT STUDIO:
3692 County Road 561
Tavares, FL 32778
Saturday, August 25th 10:00 am-12:00 pm
Friday, August 31st 5:00 pm-7:00 pm
REGISTER IN CLERMONT/MINNEOLA AREA:
544 South HWY 27
Minneola, FL 34715
Thursday, August 30th 3:30 pm-5:30 pm
For more information: Call: 352-343-1606 or E-mail: TCDTwirlers@aol.com
_________________________________________________________________________________
Please print and return:
Tri-City Dance Twirlers Registration Form
Please
fill out completely and sign and date all forms.
Student’s
Name: ______________________________________________
LAST NAME / FIRST NAME
Student’s
Age: _____ Date of Birth:___/___/_____ Circle One: M / F T-shirt
Size:_______
School/Practice
location student will be attending __________________________________
Registering
Adult:__________________________________
Relation: ________________
Address:__________________________________________
Cell Phone:_______________
City/State/Zip:
__________________________________ Home Phone:_______________
Primary
Email: _______________________________________________
Secondary
Email: _____________________________________________
Emergency
Contact: ___________________ Phone:(___)_______ Relation: ____________
All
students must have their own health/accident insurance. It is advisable to
consult
your
doctor or health care professional before beginning any baton twirling or
exercise
type
activities.
ASSUMPTION OF RISK – RELEASE – INDEMNITY
AGREEMENT
In
consideration of your accepting this registration, I hereby release the
Tri-City Dance Twirlers, (“TCDT”), and/or Evelyn Pelton from all liability for
personal injury or illness while enrolled at TCDT. I understand that baton
twirling may cause injury and I certify that my child is in good health and is
capable of participating in the enrolled classes.
Tri-City
Dance Twirlers has my permission to use photos of my minor child taken at the
studio and competition in print form and/or electronically, including on the
Tri-City website.
Signature
of Parent/Guardian: _________________________________ Date:___/__/____
Office use only:
Reg. Fee:
$_________Baton: $________Baton Size:______ Type of Pay:___________
Costume 1:
$_______ Costume 2: $________ Shoe Size: ________ Shoes $______
Earrings:
Clip/Pierce
Costume
Measurements: B_______W_______ H _______ G_______ I________
Costume
Size: ____________
Sept.
Oct. Nov. Dec.
Jan. Feb. March
April May
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