Would like to invite you to . . . their State Champ Cheerleading Camp! When: Tuesday May 26th-‐Friday May 29th 8am-‐12pm Ages: 5-‐14 Where: Eldorado High School Courtyard Cost: $85.00 for Early Registration (March 1st-‐April 30th) $100.00 for Registration (May 1st-‐Day of Camp) Eldorado Cheerleaders Cheer Camp. The camp will include: learning of dances, cheers, jumps, motions and stunts. As well as some FUN activities! Participants will receive a certificate of completion and an Eldorado T-‐Shirt. Please wear comfortable clothes, wear sunscreen and bring a water bottle. Please detach and mail in to: 11300 Montgomery Blvd. Albuquerque, NM 87111 Attn: Brandy Ansotigue or Rob White _________________________________________________________________________________________________________________________ First:___________________________________________ Last:_____________________________________________________ Age: ________ Email:______________________________________________________________ Address: ______________________________________________________ City:___________________ State:_________ Zip:_________ Current School: _______________________________________________________________________ Grade: ___________ T-‐Shirt Size (Kids Sizes S, M, L): ________ How Did You Hear About This Camp? _____________________________ ________________________________________________________________________________________________________________________ Emergency Contact Name: ______________________________Relationship:_______________ Number:__________________ Make Checks Payable to: Eldorado Cheerleaders The following information must be completed in order to participate in Eldorado High School Cheerleaders 2015 Spirit Camp. Medical Information: My Child, ________________________________________________________________ has the following medical conditions: None or Please list _________________________________________________________________________________________________ Food Allergies: _____________________________________________________________________________________________________ Drug Allergies: _____________________________________________________________________________________________________ Environmental Allergies: __________________________________________________________________________________________ Doctor’s Name:______________________________________________________ Health Insurance Carrier: ________________ In the event of an emergency please transport to the following hospital _____________________________________. I give Eldorado High School Cheer Coaches and/or Booster to seek emergency treatment for: ______________________________________________________________________________________ (Child’s Name). _______________________________________________________________ ________________________________________________ Parent/Guardian Signature Date Photographer Release: I grant permission to Eldorado High School Cheer and Boosters to use 2015 Eagle Spirit Camp photographs of _______________________________________________________ for promotional purposes, including: ________________ print advertising ________________ video ________________ website ________________ other _______________________________________________________________ __________________________________________________ Parent/Guardian Signature Date Participant Waiver: I, __________________________________________ the guardian of ________________________________ hearby agree that Eldorado High School and the Eldorado Cheerleaders, Cheer Coaches and Boosters are not responsible for any injury during the Eagle Sprit Camp held May 26th-‐May 29th at Eldorado High School in Albuquerque, New Mexico. Parent/Guardian Signature: ________________________________________________________ Date: ______________________
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