Jersey Village Gold Dusters - Sparks Fall Dance Clinic

Only for dancers who participated in the Oct 31 clinic Registration includes pre-game performance alongside the Gold Dusters at the Jersey Village vs. Cy-Lakes football game on Friday November 6th.

Optional Field Performance Registration

$15.00

*Participant's First Name

*Participant's Last Name

*Parent Guardian Full Name

*Parent/Guardian Phone Number

*Parent/Guardian Email Address

*Medical Concerns

Please let us know if your child has any medical conditions such as diabetes, asthma, allergies, etc.

*Photo & Video Release

By registering my child for the Jersey Village Gold Dusters Fall Dance Clinic, I grant permission for the Jersey Village Gold Dusters Parent Club and Jersey Village Gold Dusters to photograph and record my child during clinic activities and performances. I understand these images and videos may be used without compensation on social media, the team website, and in future promotional, fundraising, and marketing materials. By completing registration, I acknowledge that I have read and agree to this Photo & Video Release.

I agree

*Waiver agreement

I acknowledge that the participant for which I am registering will participate in this event hosted by the school. I release the school and district, its agents, employees, representatives, and volunteers from any liability for injury, death, or property damage that may occur during the event. I agree to indemnify and hold harmless from any such claims arising from the participant's actions during the event. I have read and understand this release of liability, and I agree to it freely and voluntarily. I certify my ability to do so on behalf of the participant.

I agree