Summer Camp Registration Form

Summer Dance Camps 2026
All camps are from 9:00AM-12:30PM

Dancers should bring a snack and a water.

Dancer should come dressed in comfortable clothes that they can easily dance in. They should bring clean sneakers not worn outside of the dance studio.

All dancers must be able to use the bathroom alone.

Cost: $165 per dancer per camp session.
Dancer’s Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*
Age*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Years of Dance Experience*
Any Medical Conditions, Allergies or Special Needs that we should be aware of*
How did you hear of us?
Parent or Guardian Information:
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Emergency Contact
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Payment is due within 10 days of Registering for Camp. Payment can be dropped off at the studio during class time or mailed to the studio: 1862 West Maple Avenue Unit B Langhorne, PA 19047

Payment can be made by cash or checks. Make checks payable to Contemporary Academy of Dance. Payments are non-refundable.

Camp Cost: $165 per dancer per camp
Camp Dates
All Policies are listed on our website.

For public relation purposes photos and videos may be taken of you or your child. If you object to the use of these photos or videos you must notify Contemporary Academy of Dance in writing.
Liability Release
Contemporary Academy of Dance is not liable for any injury, damage or loss of property. I release Contemporary Academy of Dance from all liability, injury, damage or loss of property. I have read and agree to the payment terms, fees, and policies listed on our website.
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Summer Dance Camps 2026

Parent or Guardian Information:

Emergency Contact

Liability Release