Dance Camp Registration 2024
Available Camps
July 8-12 2024 ages 4-10 $240.00 plus HST = $271.20
July 15-19 2024 ages 7-12 $240.00 plus HST = $271.20
August 12-16 2024 ages 4-10 $240 plus HST = $271.20
August 19-23 2024 ages 7-12 $240.00 plus HST = $271.20
10% 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,
Student 1 Full Name
*
First Name
Last Name
Date of Birth
*
Student 2 Full Name
First Name
Last Name
Date of Birth
Parent/Guardian
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / 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.
*
yes
no
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