Holy Family High School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Holy Family Spirit Middle School Clinic

Open to Current 6th to 8th Grade Students
Wednesday, March 8, 2022
5:00-8:00 p.m.
Aux Gym

Participants are highly encouraged to participate in both the Cheerleading and Poms Dance portions of the Spirit Clinic. However, if a participant wants to solely participate in just one portion of the clinic please indicate below (and see specific times).

Qty

Description

Amount

Total

Middle School Spirit Clinic

$25.00

---

Total: $0.00

Student Info

Student Name: *

(First and Last Name)

Which session will you attend: *

Current Grade Level: *

Current School: *

Cheer Experience: *

Cheer Team/Gym: *

(Type N/A if this doesn't apply)

Dance Experience: *

Dance Studio: *

(Type N/A if this doesn't apply)

Parent (Full Name): *

Parent Email: *

Parent Phone: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

Email: *

A receipt will be emailed to this address.

I agree and consent to the following: *

I am voluntarily participating in the Holy Family Middle School Spirit Clinic conducted by Holy Family High School. I recognize that the program requires physical exertion that may be strenuous at times and may cause physical injury and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the above mentioned program. I represent and warrant that I have no medical condition that would prevent my participation in the program. I agree to assume full responsibility for any risks, injuries or damage known or unknown which I might incur as a result of participating in the program. I knowingly, voluntarily and expressly waive any claim I may have against Holy Family High School for injury or damages that I may sustain as a result of participating in the program. I, my heirs or representatives forever release waive, discharge and covenant not to sue Holy Family High School for any injury or death caused by their negligence or other acts. I have read the above waiver and release of liability and fully understand it's contents. I voluntarily agree to the terms and conditions stated above.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *