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One of our favorite dance camps is back this Summer. Come dance the week away to your favorite princess. Ballet, jazz, creative dance and tumbling skills will be taught. Each day we will do frozen craft. Last day we will have a party and mini recital to show off what the children has learned that week.
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Fee per Student:
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Room:
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Family Information |
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Students entered below will be added to your family's account
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Add New Student #1:
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Add New Student #2:
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Additional Information: |
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Release of Liability
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As the legal parent or guardian, I release and hold harmless Freckled Frog Learning Center its owners and operators from any and all liability, claims, demands, and causes of action whats so ever, arising out of or relating to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control of Freckled Frog Learning Center, its owners and operators or in route to or from any said premises. I/we accept that, correct teaching may involve the use of touch by the Freckled Frog faculty members as a necessary tool to correct placement, lines and positions and by signing below I/we authorize and agree to these teaching practices.
I've read the above and agree.
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Consent of Photography/Video
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In signing this form, I consent to and authorize the use and reproduction by Freckled Frog, of any and all photographs, recordings, videotapes, and/or other reproductions of likeness of the student's person or characteristics without compensation to the student.
I've read the above and agree.
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Medical Emergency
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The undersigned gives permission to Freckled Frog, its owners and operators to seek medical treatment for the participation in the event they are not able to reach a parent or guardian. I hereby declare and physical/mental problems, restrictions, or conditions and/or declare the participant to be in good physical and mental health.
I've read the above and agree.
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$50.00 Non-refundable deposit
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A $50.00 Non-Refundable deposit to hold your spot will be charged to your credit card when you complete the registration. The $50.00 will go towards the final balance of $195 which will be billed and charge 3 weeks before camp starts.
I've read the above and agree.
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Other Questions/Comments: |
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Credit Card Verification: |
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Card Number: * |
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Name as it appears on card: * |
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Nickname:
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Card Expiration Month: * |
Exp Year: *
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Address Line 1:
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Address Line 2:
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City:
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Zip:*
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