|
|
|
|
| | |
|
|
Dance Combo Camp. Spend the afternoon working on dance technique and learning three different combos of Jazz, Lyrical, & Hip Hop.
* Kindergarten - 12th Grade *
|
|
Event: |
|
|
Start Date/Time: |
End Date/Time:
|
|
Fee per Student:
|
Room:
|
|
* - denotes required fields |
|
Family Information |
|
|
|
| | | |
| | | |
|
Students entered below will be added to your family's account
|
|
Add New Student #1:
(Show-Hide Details)
|
|
Add New Student #2:
(Show-Hide Details)
|
|
Add New Student #3:
(Show-Hide Details)
|
|
Add New Student #4:
(Show-Hide Details)
|
|
Add New Student #5:
(Show-Hide Details)
|
| | | |
|
Questions/Options: |
|
|
| |
| | | |
|
Additional Information: |
|
| | | |
|
Release of Liability
(Show-Hide Details)
I release and hold harmless Almost Famous Inc. and its owners, operators, and staff from any and all liability claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant while in or upon on premises or any premises under the control and supervision of Almost Famous Inc, its owners, operators, and staff or in route to or from any said premises. Almost Famous reserves the right to use any photo or video of our students in any Almost Famous publication. Almost Famous Camps are non-refundable and non-transferable.
I've read the above and agree.
|
|
| | | |
|
Other Questions/Comments: |
|
| | | |
>Please fill out ONE of the following Payment Methods.
|
|
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:
| |
|
|
Please Wait...
|
|
| |