Summer Technique Classes We will be offering two different summer sessions for technique in a little different format this year. This is an excellent class for older dancers who want to work on their dance technique, leaps, turns, flexibility, etc. Session 1 will be a twoday intensive on June 12th and 13th from 9:30 – 12 and will include stretching, conditioning, and technique. The cost for Session 1’s intensive is $70. Session 2 will June 29, 30, July 1st, and 2nd. We will have a class for 7th grade and up from 10-11:00 and a class for 4th-6th grade from 11-12:00. The cost for Session 2 is $60.00 Session 1 $70 6th grade and up June 12 & 13, 9:30 - 12 Dancer’s Name: ___________________________________ Session 2 $60 7th Grade & Up: 10am 4th – 6th Grade: 11am June 29, 30, July 1, 2 Age: ___________ Grade going into: Parent’s Names:_____________________________ Emergency Contact: ______________________________________ Address: ______________________________________________________ Email: ____________________________________ Phone numbers: _____________ ____________ ___________________________________ Please order my child a 2015 Dance Camp T-shirt for an additional $10 (circle size) YXS YS YM YL AS AM AL AXL Order deadline for a guaranteed camp shirt is Friday, July 3rd DANCE CONSENT FORM & IMAGE USAGE AUTHORIZATION In consideration of my child’s participation in the classes given by On The Move Dance, LLC I do herby for my child release and discharge Kari May and all personnel thereof for all claims or damages, demands, actions, or whatsoever in any manner arising or growing out of my child’s participation in any of the classes offered by OTM Dance. I attest and verify that I have full knowledge of the risks involved in exercise and my child is physically fit and able to participate without endangering my child’s health. Also, I hereby grant permission to On the Move Dance, LLC to use the image(s) of my child(ren). Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in promotional, marketing or educational materials. I agree that these images may be used by On the Move Dance, LLC without further notification. I do understand that my child(ren)’s last name will not be used in conjunction with video or digital images. Signature-Parent or Legal Guardian Date