Roma Pryma Bohachevsky CAMP FORM UPLOAD

Roma Pryma Bohachevsky Ukrainian Dance Camp Forms Upload Page - 2022
Click here for the 2022 Dance Camp Registration Form
Camper Name *

First Name Last Name
Session You'd Like to attend *
Primary Parent/Guardian *

First Name Last Name
Primary Contact Number *

Area Code Phone Number
Email *
example@example.com
Forms to Download and Submit

Click here to download Forms

All documents need to be submitted electronically below.

All registration documents are due by June 1
Forms Upload
Soyuzivka Forms: (Packet - Form 2)
Medical Care Coverage Form *

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Permission Slip *

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Meningococcal Meningitis Vaccination Response Form *

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Insurance information:

Please upload one of the following:
Upload Copy of Insurance Card (front & Back)

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No Medical Insurance Waiver (ONLY FOR Participants that do not have insurance)

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Physical Form & Copy of Immunization Record (form 3) *

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RPB Dance Academy Waiver of Liability/ Assumption of Risk (Form 4)

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Permissiona to Administer Non-Prescription Medication (Form 5) *

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Prescription Medication Administration Authorization form (Form 6)

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Roma Pryma Bohachevsky Dance Academy Dance Camp Release Form Session 1 (Form 7a) or Session 2 (Form 7b) *

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Roma Pryma Bohachevsky Dance Academy Covid Consent (Form 8) *

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Covid Vaccination Card

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What to Bring to Camp Acknowledgment
I have read the "What to bring to Camp List" document and am fully aware of what items my child will need for 2 weeks of dance camp. Please initial: Initial Here*
RPB DanceAcademy Forms Checklist Acknowledgment
I have read the "RPB Dance Academy Forms checklist" and am fully aware of what documents need to be submitted for my child to be fully registered for camp. Please initial: Initial Here*
Should be Empty:

Roma Pryma Bohachevsky Ukrainian Dance Camp Forms Upload Page - 2022

Forms to Download and Submit

Forms Upload