Dance Camp with Coach Al Register now! Spots are limited! August 12th-15th 9:00am-12:00pm Ages 5 years and up $200 per athlete $50 deposit and remainder of the balance is charged 24 hours before the camp starts Small snack and juice/water will be provided. Each athlete will receive a camp shirt. T-shirt will be provided.
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: *
Students entered below will be added to your family's account
Child's Name -Childs Age -Male or Female *
Any Allergies or snack limits *
T-Shirt size *
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*