Summer Camp Registration
2025 Dance Box Miami Summer Program
Student Name 1
First Name
Last Name
Students Age 1
Please Select
4
5
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7
8
9
10
11
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13
14
15
Current age
Shirt Size 1
Please Select
XS Youth
S Youth
M Youth
L Youth
XL Youth
S Adult
M Adult
Current age
Student Name 2
First Name
Last Name
Students Age 2
Please Select
4
5
6
7
8
9
10
11
12
13
14
15
Current age
Shirt Size 2
Please Select
XS Youth
S Youth
M Youth
L Youth
XL Youth
S Adult
M Adult
Current age
Parent Name
First Name
Last Name
Mobile Number
-
Area Code
Phone Number
Email
Instagram Account
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
First Name
Last Name
Please List any Allergies or Medical Conditions:
Camp Start Date
Registration Payment
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Summer Camp Registration
$50.00
$
50.00
Quantity
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10
Sibling Registration
$80.00
$
80.00
Quantity
1
2
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10
Credit Card
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