Summer Camp Registration
June and July, 2024
Parent/Guardian Name 1
*
First Name
Last Name
Parent/Guardian Name 2
First Name
Last Name
Email
*
example@example.com
Alt Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number
*
Work Number
Alt Number
Emergency Contact
*
First Name
Last Name
Emergency Phone Number
*
Student Name
*
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Age
Gender
Male
Female
N/A
Medical Conditions / Allergies
Yes
No
If Yes, please explain
Camp (s1)
"Under the Sea" (ages 3-4)(new 5 yr old)
"Beauty & the Beast" Dance Camp (ages 5-6)(new 7 yr old)
"Wonka Dance Camp" June Dance Camp-June(ages 7-9)
Apprentice Intensive-June (by placement)
Company Intensive-June (by placement)
"Eric Carle" July Dance Camp-July (ages 3-4)(new 5yr olds)
Peter Pan & Tinker Bell" July Dance Camp (ages 5-6)(new 7 yr old)
"Carnival of Animals" July DanceCamp (ages 7-9)
Apprentice Intensive-July (by placement)
Company Intensive-July (by placement)
need to register siblings?
Yes
No
Student Name (sibling 2)
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Age
Gender
Male
Female
N/A
Medical Conditions / Allergies
Yes
No
If Yes, please explain
Camp (s2)
"Under the Sea" June Dance Camp (ages 3-4)(new 5 yr old)
"Beauty & the Beast" June Dance Camp (ages 5-6)(new 7 yr old)
"Wonka Dance Camp" June Dance Camp-June(ages 7-9)
Apprentice Intensive-June (by placement)
Company Intensive-June (by placement)
"Eric Carle" July Dance Camp (ages 3-4)(new 5yr olds)
"Peter Pan & Tinker Bell" July Dance Camp (ages 5-6)(new 7 yr old)
"Carnival of Animals" Dance Camp-July (ages 7-9)
Apprentice Intensive-July (by placement)
Company Intensive-July (by placement)
Student Name (sibling 3)
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Age
Gender
Male
Female
N/A
Medical Conditions / Allergies
Yes
No
If Yes, please explain
Camp (s3)
"Under the Sea" June Dance Camp (ages 3-4)(new 5 yr old)
"Beauty & the Beast" June Dance Camp (ages 5-6)(new 7 yr old)
"Wonka" June Dance Camp-June(ages 7-9)
Apprentice Intensive-June (by placement)
Company Intensive-June (by placement)
"Eric Carle" July Dance Camp (ages 3-4)(new 5yr olds)
"Peter Pan & Tinker Bell" July Dance Camp (ages 5-6)(new 7 yr old)
"Carnival of Animals" Dance Camp-July (ages 7-9)
Apprentice Intensive-July (by placement)
Company Intensive-July (by placement)
Student Name (sibling 4)
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Age
Gender
Male
Female
N/A
Medical Conditions / Allergies
Yes
No
If Yes, please explain
Camp (s4)
"Under the Sea" June Dance Camp (ages 3-4)(new 5 yr old)
"Beauty & the Beast" June Dance Camp (ages 5-6)(new 7 yr old)
"Wonka" June Dance Camp (ages 7-9)
Apprentice Intensive-June (by placement)
Company Intensive-June (by placement)
"Eric Carle" July Dance Camp (ages 3-4)(new 5yr olds)
"Peter Pan & Tinker Bell" July Dance Camp (ages 5-6)(new 7 yr old)
"Carnival of Animals" July Camp (ages 7-9)
Apprentice Intensive-July (by placement)
Company Intensive-July (by placement)
I acknowledge that I have read, understand, and accept the Goldsboro School of Ballet policies, dress code, and have reviewed this information with the participant. Please sign below.
*
Summer Camps (Use EARLYBIRD10 to get 10% discount through June 3rd) YOU MUST ENTER THE COUPON CODE TO RECEIVE THIS DISCOUNT! YOU MUST CLICK ON THE CAMP(S) BELOW TO FINALIZE REGISTRATION FOR THIS CAMP!
*
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UNDER THE SEA June Dance Camp
June 17-20 ages 3-5 12:30-2:30
$
95.00
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"ERIC CARLE" July Dance Camp
July 15-18 Ages 3-5 9:30-11:30
$
95.00
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"BEAUTY & THE BEAST" June Dance Camp
June 24-28 Ages 5-7 1:00-4:00
$
120.00
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"PETER PAN & TINKER BELL" July Dance Camp
July 22-26. Ages 5-7. 9:00-12:00
$
120.00
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"WONKA" June Support Dance Camp
June 17-21 Ages 7-10. 8:00-12:00
$
145.00
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"Carnival of Animals" July Support Dance Camp
July 15-19. Ages 7-10. 1:00-5:00
$
145.00
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Apprentice Intensive-June
June 17-21 Ages 10-up (by placement). 9:00-4:00
$
220.00
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Apprentice Intensive July
July 15-19 Ages 10-up (by placement) 9:00-4:00
$
220.00
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Company Intensive June
June 24-28. Ages 13-up (by placement) 9:00-5:00
$
255.00
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Company Intensive July
July 22-26. Ages 13-up (by placement) 9:00-5:00
$
255.00
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Credit Card
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