Summer 2022: Dancer Registration

Summer 2022: Dancer Registration

June Camps: Sign-up by June 1! July & August Camps: Sign-up by July 1
SUMMER DANCE CAMPS- DOWNLOAD & READ ABOUT THEM HERE!
Dancer's Name*

First NameLast Name
Sibling's Name

First NameLast Name
How did you hear about us?*
Dancer's Age At Camp:*
Sibling's Age At Camp:
Birthday (xx/xx/xxxx)*
Sibling's Birthday (xx/xx/xxxx)
Guardian's Full Name*

First NameLast Name
Primary Email*
example@example.com
Secondary Email*
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mom's Phone Number*

Area CodePhone Number
Dad's Phone Number*

Area CodePhone Number
Emergency Contact Name, Relation, Cell Number:*
Does your dancer have any medical problems we should be aware of?*
Please specify which camp age/time(s) you're attending & detail names if registering siblings*
See PDF above or camp list at bottom of form
Crosscutters Camp Only: T-Shirt Size
Crosscutters Camp Only: Estimated # of Tickets Needed
(ie 4, include dancer)
I hereby release Downtown Dance, employees & independent contractors from all liability for personal injury, illness, or property damage occurring on or off the studio’s premises. I authorize Downtown Dance to seek medical treatment at the nearest medical facility and they may call paramedics and discharge me/my student to an ambulance if I am not able to authorize it in case of a medical emergency. I certify that my student is in good health and capable of participating in physical activities.
I hereby give permission to Downtown Dance to take and use photographs for promotional uses for the studio.

I understand that payment is not refundable after June 1, 2022.
Signature*

Clear
Guardian's Full Name (Signature to Above Agreement)*
Date*
Signature*

Clear
Guardian's Full Name (Signature for above Covid Waiver)*
Date*
Updated-

6/28/22- Mermaid/Pirate Ballet for Ages 3-4 is sold out.

For 3 year olds, you can select the Cocomelon Aug 1 camp. There are a few options for 4 year olds left. Otherwise, the school year schedule will be posted end of July; look for that!

Summer Dance Program

August

Mon Aug 1 Week, MWF- “Cocomelon, Creative Movement”$50.00

5:45-6:20PM Ages 3-4 Creative Movement 6:30-7:15PM Ages 4-5 Creative Movement/Tap

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