A Day of Dance with the PCMS Blue Diamonds
WHO: Elementary Students (PreK – 5th Grade)
WHEN: Saturday, September 28, 2019 from 9:00am until 1:00pm
Registration begins at 8:45am.
PERFORMANCE: Dancers will perform at 1:00pm in the PCMS Gymnasium
REGISTRATION FEE: $30 per child (Late Registration: $35 per child after Friday, September 20th)
Registration forms and fee must be received no later than Friday, September 20th to guarantee t-shirt.
Forms and money may be mailed to the following address: PCMS BLUE DIAMONDS
Attn: Ambie Watson
5216 County Farm Road
Blackshear, GA 31516
*Forms and money may also be turned in to the front office at PCMS, PES, BES, and MES.
Lunch (pizza, chips, and kool-aid) will be provided for all participants.
Please contact Ambie Watson (firstname.lastname@example.org) at (912)449-2077 with any questions or concerns.
Referred by (Blue Diamond Dancer):
Participant’s Name: Grade:
Birthday: T-Shirt Size (circle one): YXS YS YM YL AS AM AL AXL
(2-4) (6-8) (10-12) (14-16)
Mother’s Name: Phone #:
Father’s Name: Phone #:
Emergency Contact: Phone #:
Doctor: Phone #:
Parent Agreement: I understand that by signing my child up for this camp they will be participating in physical activity. I accept responsibility for my child under these conditions and agree to not hold the Blue Diamonds instructors and/or Pierce County Middle School liable for any injury that could occur.
OFFICE USE ONLY:
Date Received: Payment: