Registration

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This camp is designed for students to further their dance experiences and to gain new knowledge in different styles of dance. Each of the 3 levels will be tailored specifically to the student’s ability and every student will be challenged daily with new material. Don't miss the wonderful opportunity to broaden your knowledge of dance in a fun and creative environment.

Event:

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End Date/Time:

Fee per Student:

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Family Information

	First Name:*	Last Name: *
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2) Name and Phone Number*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:*	Grade Level (2020-21 school year):*
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):

Additional Information:

Release of Liability and Medical Emergency

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Payment

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Photography and Videography Release

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Policies and Dress Code

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