Registration
Already a customer? Click here to login.
Get ready to Shake It Off and cheer with us at our Taylor Swift Pom Pom Cheer Camp! Join us on Wednesday, 1/29 from 9:30am-12:30pm for a fun-filled day of: Taylor Swift-inspired cheer & dance routines Air track & obstacle course challenges Cheer bow craft activity Pizza lunch (because who doesn’t love pizza?!) Whether you’re a Swiftie or just love to cheer, this camp is the perfect way to have fun and get your cheer on Taylor Swift-style! Date: 1/29 Time: 9:30am-12:30pm Space is limited — Sign up now!
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies:
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies:
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies:
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies:
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies:
Questions/Options:
Is your participant able to eat pizza, water, or juice? If unable to - please provide a lunch item for them.
*
Additional Information:
Waiver
(Show-Hide Details)
I understand & agree participating in any dance class is a possibility of physical injury. I voluntarily agree, therefore to assume all risks & responsibility for any such injury/accident. I also understand that KP Dance Center is not responsible for lost/stolen property inside/outside the building/parking lot. Permission is granted to KP Dance Center to use photographs for publicity purposes. I have read, understood and agree. This applies to myself, my dancer(s) and any person(s) I bring to KP Dance Center at any of their locations. I also understand and agree ALL payments are non-refundable.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Credit Card Verification:
Card Number:
*
Visa
Mastercard
Discover
Name as it appears on card:
*
Nickname:
Card Expiration Month:
*
01
02
03
04
05
06
07
08
09
10
11
12
Exp Year:
*
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
Address Line 1:
Address Line 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
*
Please Wait...
