BLAST FROM THE PAST HALEY S POWERHOUSE ACADEMY OF DANCE. ADVANCE TICKETS $10 Sold online starting Jan 15th through June 15th

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1 HALEY S POWERHOUSE ACADEMY OF DANCE PRESENTS BLAST FROM THE PAST SEASON RECITAL WHEN June 29, pm-9pm June 30, pm-3:30pm & 6pm-9pm WHERE Performing Arts Center ENMU 52 University Blvd Roswell NM FEATURING Rockettes & HPAD Dance Team Performances DRESS REHEARSAL JUNE 27TH 3PM-8PM NO COSTUME JUNE 28TH 3PM 8PM FULL COSTUME **RESERVE SEATING** ADVANCE TICKETS $10 Sold online starting Jan 15th through June 15th AT THE DOOR $15 Sold on Site RECITAL PICTURE WEEK March 26th thru 30th PROGRAM INSERTS PURCHASE ON SALE NOW Digital files or 5x7 photo required. 1/4 page $30 1/2 page $50 Full page $75 2/3 Dancer combo full page $85 RECITAL T-SHIRTS PRE ORDERS ON SALE NOW $18 youth $20 adult After deadline add $5 to order RECITAL DVD PRE ORDERS ON SALE NOW $20 each After Recital $30 each

2 HPAD Recital Picture Week SEASON Make up Girls March 26 th thru 30 th Ages 2 thru 6 - Pink blush & Red Lipstick, Clear lip gloss Ages 7 and Up- Natural Eye Shadow, Pink Blush, Black Mascara, Red Lipstick with clear lip gloss Exception Monday Group Picture during Turns and Technique time 6:45 to 7:45 Selections for Group Picture for the cover of program will be released before Jan 20th (suggest following shades) Hair Girls Whatever style you prefer for pictures Hair Boys Neat and part on natural side Will take pictures at normal class times Please show up with costume and accessories in hand. Changing will be in pink studio for girls and dressing room for boys

3 Please bring one for each class, Checks and Cash only. Make checks out to Peek A Boo Portraits Picture Week March 26th thru 30th

4 HPAD DVD ORDER FORM SEASON Haley s Powerhouse Academy of Dance 400 N Pennsylvania Ave, Suite 350 Roswell NM, Phone: Website: All payment must be received prior to the release of DVD. Price: $20 before Recital $30 day of Recital and after Save time order online at DATE: FIRST NAME: LAST NAME: DANCER NAME: ADDRESS: Phone: PAYMENT INFORMATION Cash: Check: (Make Check out to HPAD) Credit Card: Name on Credit Card: Expiration Date: (MM/YY) / CVC Code (Security code back of Card) : Credit Card Number: Number of DVDs: Total: STUDIO ONLY DO NOT WRITE BELOW THIS LINE Paid Payment type: Cash Check (Check # ) Credit Card: Payment Processed by: Date Processed: Turned in Video Wavier Yes No Recital DVD Order Form

5 TALENT RELEASE This Talent Release (the Release ) is entered into as of, 20 by [insert name of the talent s parent/legal guardian], the [mother][father][legal guardian] (the Guardian ) of [insert name of talent] (the Minor ), in favor of Donovan Fulkerson with a principal place of business at 1207 Karabella Way, Roswell, NM (the Filmmaker ). 1. PERMISSION TO MAKE AND USE RECORDINGS. For good and valuable consideration, receipt of which is hereby acknowledged and received, the Guardian grants the Filmmaker and its employees, agents, independent contractors, licensees, successors, and assigns (the Filmmaker s Agents ) permission and the full and irrevocable right to record the Minor s likeness, image, voice, appearance, and performance on film, videotape, audiotape, computer files, or other media (the Recordings ) and to use, reuse, edit, exhibit, license, distribute, and/or otherwise exploit the Recordings, in whole or in part and biographical material, for any lawful purpose whatsoever and in all forms of media now known or unknown, including, but not limited to, radio, motion pictures, Internet, etc. (the Recordings Use ). 2. RIGHTS AND OBLIGATIONS. The Guardian grants and assigns to the Filmmaker and the Filmmaker s Agents all right, title, and interest in and to the Recordings, including, but not limited to, copyright. The Guardian understands and agrees that the Recordings shall be the sole property of the Filmmaker and that neither the Guardian nor the Minor shall have any right to: (i) inspect or approve the Recordings; (ii) inspect or approve any other recordings, text, graphics, images, or other content created in connection with or combined with the Recordings; or (iii) receive any royalties or other compensation arising from or related to the Recordings Use. 3. RELEASE. The Guardian agrees to release, discharge, and hold harmless the Filmmaker and the Filmmaker s Agents from any and all damages, liabilities, costs, expenses, claims, and/or judgments of any kind or nature whatsoever arising from the Recordings Use, including, but not limited to, those based on copyright infringement, invasion of privacy, right of publicity, libel, defamation, or false light. The Guardian acknowledges and agrees that this Release is binding on the Guardian and the Minor, and their respective heirs, legal representatives, and assigns. 1 Relicwood Media, LLC Talent Release (Minor)

6 4. GUARDIAN S REPRESENTATIONS AND WARRANTIES. The Guardian hereby represents that [he][she]: (i) is a legal adult and has the full legal capacity to execute this Release; (ii) is the parent or legally appointed guardian of the Minor; and (iii) has the full legal authority to execute this Release on the Minor s behalf. The Guardian further represents that the rights granted under this Release will not conflict with or violate any other commitment the Minor has with any other party. The Guardian has read this Release prior to signing it and fully understands its contents, meaning, and impact. Signature of Guardian Printed Name of Guardian Address of Guardian Line 1 Witnessed by: Witness Signature Printed name of Witness Address of Guardian Line 2 Address of Witness Line 1 Signature of Minor Address of Witness Line 2] Printed Name of Minor Age of Minor Please Sign and have your dancer sign as well. Bring to HPAD Admin Desk for Witness signature. Due No Later Than April 15th. Address of Minor (if different) Relicwood Media, LLC Talent Release (Minor) 2

7 HPAD TSHIRT ORDER FORM SEASON Haley s Powerhouse Academy of Dance 400 N Pennsylvania Ave, Suite 350 Roswell NM, Phone: Website: Price: Before cut off April 30th Youth Sizes: $18 Adult Sizes: $20 After cutoff add $5 Save time order online at Front of Shirt Back of shirt FIRST NAME: LAST NAME: DANCER NAME: Phone: Quantity & Sizes (Please write number wanted for each size) YXS YS YM YL YXL AS AM AL AXL AXXL AXXXL PAYMENT INFORMATION Cash: Check: (Make Check out to HPAD) Credit Card: Name on Credit Card: Expiration Date: (MM/YY) / CVC Code (Security code back of Card) : Credit Card Number: Number of T-shirts: Total: STUDIO ONLY DO NOT WRITE BELOW THIS LINE Paid Payment type: Cash Check (Check # ) Credit Card: Payment Processed by: Date Processed: T-Shirt Sample and sizes are available upon request at the HPAD Admin Desk Recital Tshirt Order Form

8 HPAD PROGRAM INSERT ORDER FORM SEASON Haley s Powerhouse Academy of Dance 400 N Pennsylvania Ave, Suite 350 Roswell NM, Phone: Website: DEADLINE MAY 15 th to Order Save time order online at FIRST NAME: LAST NAME: DANCER FULL NAME: Phone: Must have 5x7 of each image attached with order form/message limit 20 words ¼ Page $30 ½ page $50 Full Page $75 2/3 Dancer Combo Full Page Message: PAYMENT INFORMATION Cash: Check: Check # (Make Check out to HPAD) Credit Card: Name on Credit Card: Expiration Date: (MM/YY) / CVC Code (Security code back of Card) : Credit Card Number: Number of Pictures: Total: STUDIO ONLY DO NOT WRITE BELOW THIS LINE Paid Payment type: Cash Check (Check # ) Credit Card: Payment Processed by: Date Processed: PICTURES INCLUDED Yes No Recital Program Order Form

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