Dance Camp 2025 Registration Form

Available Camps

July 7-11 2025 ages 4-10 $263.00 plus HST = $297.19July 14-18 2025 ages 6-12 $263.00 plus HST = $297.19August 11-15 2025 ages 4-10 $263.00 plus HST = $297.19August 18-22 2025 ages 6-12 $263.00 plus HST = $297.1910% discount for 2 or more camps

Full Day Camps run from 9:00 am to 4:00 pm. Drop off 8:30 to 9:00 am. Pick up 4:00 to 4:30 pm.

Please note: Spots will only be reserved when fully paid.

CAMP FEES ARE NON REFUNDABLE

Student 1 Full Name*

First NameLast Name

Date of Birth*

Student 2 Full Name

First NameLast Name

Date of Birth

Parent/Guardian*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mobile Phone Number*

Home Phone if different than Mobile

Please enter a valid phone number.

Parent E-mail*

example@example.com

Student Email

example@example.com

Name and phone number of Emergency Contact*

Health Concerns/Allergies (if any)*

I, the undersigned acknowledge that the participation in dance education involves strenuous physical activity and that Leisa's School of Dance, Leisa Whalen, instructors and guest choreographers will not be held responsible for injury of any kind as a result of participation. By signing this agreement, I acknowledge the contagious nature of COVID-19 and agree to assume the risk that my child(ren) and I may be exposed or infected by COVID-19 by attending activities at Leisa's School of Dance.*

I authorize Leisa Whalen to use photographs taken of my child while attending Leisa's School of Dance. Photographs may be used to promote programs or be used in or as part of publications, newsletters, advertisements, website and displays intended for the general public.*

yesno

Dance Camp Registration 2025