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MIramonte Summer Clinics Sideline
Parent/Guardian Permission: I understand that my child named above will be attending the All That Entertainment clinic offered to Miramonte Cheer, Spring or Summer Clinic at Miramonte High School May 6 - Aug 1, 2019. I understand that there are risks involved in any cheer/dance or exercise activity and I will not hold Acalanes School District, Miramonte High School, All That Entertainment or Cassandra Montgomery, staff or representatives responsible in case of accident or injury at any time during the clinic/camp or performance activity. All participants must sign a separate medical liability before joining in activities. Please electronic sign and date below. You must sign a form before the clinic/camp attendance.
In the event of an emergency occurring while my son/daughter is at Cassandra Montgomery’s offered class or performance, I grant permission to Cassandra Montgomery/ All That Entertainment, Acalanes School District, Miramonte High School & their employees or representatives to take whatever action is necessary. Parent/Guardian initial.
In the event that I cannot be reached, I hereby authorize Cassandra Montgomery/ All That Entertainment and her staff to give consent for my son/daughter to receive medical treatment. Parent/Guardian initial.
Choose the dates you are attending Clinics Below Cost is $25 a day Payable on Paypal, Venmo or Zelle. Location will be set on the number of students attending. Using Lafayette Studios and Miramonte facilities. $150 June freshman clinics/ $300 July clinics
June 17 Frosh
June 18 Frosh
June 19 Frosh
June 24 Frosh
June 25 Frosh
June 26 Frosh
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Phone to reach dad during camp cell or work
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I authorize Cassandra Montgomery, All That Entertainment and Miramonte High School Spirit Program to use any and all photographs and videos (images) and agree that Cassandra can Publish, copyright, and distribute images for any publicity materials, including but not limited to, website, posters, newspaper ads, and any other publicity or media advertising. Parent/Guardian initial.
Phone to reach mom during camp cell or work
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