Registration
Come join us for a fun week full of dancing and Pop Star themed activities! This camp will be held June 3rd- 6th from 10am - 12:30pm and is for children in kindergarten through 2nd grade. This will include dance classes with our faculty, pop star crafts, and games throughout the week! Snacks and a craft will be included. We can’t wait to see you there!
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Relationship to Student*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Does your Dancer have any food allergies?*
Is your dancer in Miss Cindy's Daycare Dance Program?
 
Additional Information:
 
Assumption of Risk/Student Liability Release
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I've read the above and agree.
 
Payment Policy
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I've read the above and agree.
 
Social Media/Video/Photography Release
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number:  
Name as it appears on card:
Nickname:
Card Expiration Month:   Exp Year:
Address Line 1: Address Line 2:
City: State: Zip:
 
 
eCheck/Bank Draft:
Bank Name:
Bank Routing Number: (9-digit number)
Your Account Name: (Your name on your bank statement)
Your Account Type:   Account Number: