Dance Registration Form

GLAM Summer Dance Camp Form 2024

Please complete the form below. Add each child(ren) name on one forms. Camp Starts: Monday June 3rd & Camp Ends Friday July 26th.
How It Works:

Destiny Dance Studio offers GLAM Dance Camp for young girls with an exciting performance @ end of the Summer Camp! The campers will enjoy sunny days filled with playtime at the park, safe scheduled field trips, super silly crafts, and of course super cool dance moves and choreography from Cheer Pom Dance, Jazz, Hip Hop & HBCU Majorette!

GLAM camp is perfect for all dance levels.

NO PRIOR DANCE EXPERIENCE REQUIRED.

*We have sibling rate within the same household.

REGISTRATION FEES:

$65 Per Student

$90 Sibling Rate (up to 2)

$125 Sibling Rate (up to 3)

CAMP FEES:

Individual Rate:

$120 Per Week Camp Day (8:30am-4pm)

$150 Per Week Full Day (6:30am - 6:30pm)

Family Rate:

$210 Per Week Camp Day 8:30am-4pm (2 Sibiling)

$315 Per Week Camp Day 8:30am-4pm (3 Sibiling)

$260 Per Week Full Day 6:30am-6:30am (2 Sibiling)

$390 Per Week Full Day 6:30am-6:30am (3 Sibiling)

Payments are due on Friday or Mondays prior to camp.

We have multiple payment options; Parent Portal, Zelle, Cashapp, and Cash.

Breakfast/Lunch/Snack

We provide Breakfast for Before Care Students

Each student is responsible for bringing a lunch Mon.-Thur. DDS provide lunch every Friday from local restaurant.

DDS provides a daily snack to all students
Choose All That Apply*

Before Care 6:30a-9:00aDance Camp 9:00a-4:00pAfter Care 4:00p-6:30p

Primary Contact Information
Mother/Guardian Name*

First NameLast Name
Father Name

First NameLast Name
Mobile Phone*

Area CodePhone Number
Home Phone

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact*

First NameLast Name
Emergency Contact Phone*

Area CodePhone Number

Liability Information
CONSENT FOR LIABILITY | As the parent or legal guardian of the above-named participant/dancer, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent. I understand that dance classes may include, without limitation, dancing with props, stretching, barre work, across the floor combinations, dance routines in the cneter, and other related activities. I further understand that all the activities of the dance class involve some degree of risk of strain or bodily injury. Destiny Dance Studio and/or staff are not responsible for personal injury due to dance or particpate/dancer.

Signature & Payment

Please choose one registration option below*

Registration Fee$65.00

Non-Refundable Glam Packet

Family Registration Fee (2 Sibling)$90.00

Non-Refundable (2 Siblings) Glam Packet

Family Registration Fee (3 Siblings) $125.00

Non-Refundable (3 Siblings) Glam Packet

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

By signing and submitting this registraiton form, you understand and agree to all policies.

Once you click "Register" you will be sent your payment link to pay the registration fee.
Parent/Guardian Signature*

First NameLast Name
Today's Date*

MonthDayYear
Should be Empty:

GLAM Summer Dance Camp Form 2024