The Epic Center
Themed SUMMER daytime camps!
Student Name
First Name
Middle Name
Last Name
Student DOB:
I do hereby hold harmless Amanda Ferreira, Amanda’s Academy of Dance/Fine Arts Foundation, The EPIC Center and any/all teachers/instructors conducting classes at Amanda’s Academy of Dance/Fine Arts Foundation and The EPIC Center at 1 Park Place Haines City, FL 33844 from any injuries incurred or aggravated, any personal property lost, stolen, or damaged while at any dance, Circus, Art, Roller Skating, Acting or Acro classes, functions, or events involving Amanda Ferreira, Amanda’s Academy of Dance, The EPIC Center and any/all teachers/instructors of Amanda’s Academy of Dance. (Please sign below if you agree to the above statement.)
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Phone:
Please enter a valid phone number.
Email (PLEASE USE A ACCURATE EMAIL FOR COMMUNICATION PURPOSES)
example@example.com
Does the student have any challenges we should know about? If so, please explain how we can best accommodate the student.
Which camp(s) are you signing up for?
Tik Tok- June 15th- June 17th
Space Camp- June 29th- July 1st
Christmas in July 13th- July 15th
Beast & Beauty Camp- July 27th- July 29th
I do hereby hold harmless Amanda Ferreira, Amanda’s Academy of Dance/Fine Arts Foundation, The EPIC Center and any/all teachers/instructors conducting classes at Amanda’s Academy of Dance/Fine Arts Foundation and The EPIC Center at 1 Park Place Haines City, FL 33844 from any injuries incurred or aggravated, any personal property lost, stolen, or damaged while at any dance, Circus, Art, Roller Skating, Acting or Acro classes, functions, or events involving Amanda Ferreira, Amanda’s Academy of Dance, The EPIC Center and any/all teachers/instructors of Amanda’s Academy of Dance.
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