Summer Dance Camp Registration Form

Summer Dance Camp Registration Form

Please fill out your details to register for our summer dance camp and review the waiver at the end.
How many participants are you signing up?
Participant's Full Name

First NameLast Name
Participant's Date of Birth

MonthDayYear
Date
Participant’s Shirt Size (Specify Youth or Adult)
Participant’s Bottom Size (Specify Youth or Adult)
Participant's Full Name

First NameLast Name
Participant's Date of Birth

MonthDayYear
Date
Participant’s Shirt Size (Specify Youth or Adult)
Participant’s Bottom Size (Specify Youth or Adult)
Participant's Full Name

First NameLast Name
Participant's Date of Birth

MonthDayYear
Date
Participant’s Shirt Size (Specify Youth or Adult)
Participant’s Bottom Size (Specify Youth or Adult)
Participant's Full Name

First NameLast Name
Participant's Date of Birth

MonthDayYear
Date
Participant’s Shirt Size (Specify Youth or Adult)
Participant’s Bottom Size (Specify Youth or Adult)
Parent's Full Name

First NameLast Name
Parent's Email Address
example@example.com
Parent's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Hiphop/Majorette Camp

Mondays 5:30-7PM

$50.00 Quantity

Jazz/Pom Camp

Wednesdays 5:30-7pm

$50.00 Quantity
Item subtotal:

Current Dancer

Both Camp Days

$40.00 Quantity

Current Dancer

Single Camp Day

$20.00 Quantity

Trial Week

Please utilize this product if your dancer is attending the free trial.

Free Quantity

Enter coupon

Total

Payment Methods

Debit or Credit Card

Klarna

Please note all payments are non-refundable
By registering for participation, I acknowledge and accept that dance activities involve inherent physical risks. I voluntarily assume full responsibility for any injury, loss, or damage that may occur to myself or my child as a result of participation in camp activities, performances, or related events. I hereby release and hold harmless the dance team, its directors, staff, volunteers, and affiliated organizations from any and all liability, claims, or demands arising from participation. I certify that I/my child am physically able to participate and agree to follow all safety guidelines and instructions provided.
I have read and agree to the waiver terms above.
Participant's Full Name

First NameLast Name
Should be Empty:

Please note all payments are non-refundable