21 Clinton High School K-5th grade Cheer Camp 
          20
                            Registration Form
     Join the CHS Cheer squad for cheer camp. We will learn cheers and a dance that we will 
     perform before the varsity football game on Friday, September 17. Campers will meet at 
     6:00 in practice gym by pool to practice and receive t-shirts before the game.
                           *Adults must pay admission to attend game.
                              CAMP Date/Time: 
              Camp is Saturday, September 11 from 9-11:30 in the practice gym.
                 (enter thru pool doors)  Registration will start at 8:30am.
           Cost is $30 per student (includes T-shirt and admission to game)
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                        PLEASE RETURN THIS PART WITH PAYMENT 
                                       
     Student Information
     Name:_______________________________________________
     Grade:_________ School:________________________________
     Parent/Guardian 
     Name(s):________________________________________________
     Email:___________________________________________ Phone:____________________ 
     Alternate Contact Information (In case of emergency)
     Name:________________________________________ Phone:_________________________ 
     T-Shirt Size (Please circle your child’s size):
     Youth Sm (6-8)    Y Med (10-12)    Y Lg (14-16)      Adult Sm      Adult Med     Adult Lg
     Please fill out this form completely and turn in with your money, check or money order in 
     the amount of $30 to the CHS or Eagle Heights office by Sep. 9 or BEFORE camp on Sep 
     11, 2021
            Please make checks payable to Clinton Community School District.
     Questions: Email Coach Burns at   v icki.burns@csdkq.org  or phone 563-357-4015