Summer Registration 2022
We're so excited that you'll be joining us for summer! Please fill out ONE FORM PER REGISTERED STUDENT. Send any specific questions to us via email at info@synergydanceil.com
Dancer's Name
First Name
Last Name
Guardian's Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Dancer's Age as of June 1st
New or Returning Student
New Student
Returning Student
Please list the CLASSES you would like to register for (add the day of week to each class).
Please list the DAY CAMPS you would like to attend (use the name of the camp).
Weeks you will be attending
Week 1 June 27-July 1
Week 2 July 4-July 8 (No class the 4th, Mondays classes will be on Friday July 8th
Week 3 July 11-July 15
Week 4 July 18-July 22
Week 5 July 25-July 29
Week 6 August 1-August 5
Payment can be made in full or broken into 2 installments. 1st installment will be due the week of June 27th. 2nd installment due the week of July 18th.
In Full
2 installments
Preferred Payment method?
Cash
Credit Card on file
Check made out to Synergy Dance Academy
Any questions? Special Notes? Please leave them below
Submit Survey
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