Registration
Sign up for all 3 summer pop-up camps! Magical Unicorn, Rainbows & Sparkles, & Hippity Hop!
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
(Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
Hold Harmless
I understand that dance is an activity that could cause injury. I hereby assume the risk for any injury that my child may sustain while participating in the activities offered by Studio Dance Centre. "Activities" include all in-house activities, as well as offsite activities, including, but not limited to, community performances, rehearsals, recitals, etc. I agree to release and hold harmless and forever discharge Studio Dance Centre, its officials, faculty and staff, agents, other employees, or volunteers from any actions, suits, damages, claims, or judgments that may result from any personal injury that my child may sustain while on the premises of Studio Dance Centre and at all offsite activities offered to my child.
I've read the above and agree.
 
Payment
I understand that my nonrefundable payment for summer camp(s) is due at the time of registration and will be processed by Studio Dance Centre within 72 hours of submitting this form.
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:*