Mini-Royal Name *

First Name

Last Name

Emergency Contact Phone Number *

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Waiver of Claims *

The Mini-Royal Dance Clinic is coordinated through the RHS Royals Booster Club and is not part of Rouse High School or LISD. This flyer has been approved by the school and LISD. Waiver of Claims: “I hereby release any claim I might have against the RHS Royals Booster Club, or any of its agents, which might arise from an injury or other damage my child may incur while on the property of LISD or while participating in any activity sponsored by the RHS Royals Booster Club.”

First Name

Last Name

Date *

MM

DD

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