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gts <br /> • <br /> intik <br /> 4 1 01 aiEr...gLEArme aNic <br /> Fun for all! Learn cheers,jumps, cartwheels and other cheerleading basics from <br /> the Elk River Area High School Cheerleaders. Participants will learn a routine <br /> and will perform during halftime at the October 14th Varsity Football game. Fee <br /> includes a snack and poms. T Shirts are available for an additional fee if desired <br /> (please indicate size needed if ordering). Dress comfortably for the clinic. Please <br /> wear a white top and red or black bottoms for the game. <br /> Registration deadline is October 1. <br /> Saturday, October 10th <br /> Salk Junior High Balcony, Door U <br /> #405-10 Grades K-2 9-Noon <br /> #405-11 Grades 3-6 1-4pm <br /> Fee: $15* <br /> *$5 discount to residents of Dayton,Elk River,Hassan,Otsego and Rogers <br /> 410 #405-12 Shirt $10 <br /> Co-Sponsored by Community Recreation& <br /> (Sizes available Adult S, M,L or XL) the ERAHS Cheerleaders <br /> 1230 School Street NW,Elk River,MN 55330 <br /> Limit:75 max each session 612/241-3523 <br /> Community Recreation Registration Form <br /> Complete and return with fee <br /> 1230 School Street,Elk River,MN 55330 <br /> Course# Title Fee <br /> Course# Title Fee <br /> Participant LAST NAME FIRST NAME <br /> IF CHILD,Age Parent Name <br /> Home Address City /Township Zip <br /> Home Phone# Work/Emergency# ask for <br /> Any Special Needs? <br /> Visa or Mastercard# Expires <br /> Credit Card Signature Make checks payable to: <br /> COMMUNITY RECREATION <br /> We are collecting this data in order to enroll the participant in a recreation program. The data will be provided to the instructor(s),recreation staff whose jobs require the <br /> data,and in some instances,other program participants. If this data is not provided the participant may not be able to be enrolled in the program. <br /> 'AIVER: In consideration of your accepting me or my child's entry.I hereby,for myself,my child,my heirs executors and administrators,waiver and release any and all <br /> hts and claims for damages I or my child may have against any participating city of the Community Recreation Board or School District 728 and its representatives, <br /> successors and assigns for any and all injuries suffered by myself or my child at any activity sponsored by these groups. <br /> Signature Date <br />