Registration
Bring your friends and come have fun at our new one-day camps! We'll dance, make a craft, and enjoy activities based on the theme of the day! For ages 4 - 8. This event will take place at our main location (419 Tribble Gap Road, Cumming). Registration is $35 per person for the 2 hour event. 9:30 am - 11:30 am. Register for more than one and receive a multi-camp discount of 10!
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: * Zip: *
Emergency Contact Info
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Please list any allergies that you or your student(s) have that we should be aware of.
 
Additional Information:
 
Cost
I understand that the cost for my dancer(s) to attend the event must be paid on or before Tuesday, June 23rd in order for my dancer(s) to participate.
I've read the above and agree.
 
Refund
I understand that the amount paid for this event is only refundable to me should I give a notice that we will not be attending on or before the date of the event. No refunds will be given on or after the date of the event.
I've read the above and agree.
 
Release of Responsibility
I release Cumming Dance Academy, Inc. officers, staff, owners, and faculty of all injury, medical bills, damage to property, and loss of personal items occurring in or around the studio premises during this event.
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:*