• Summer Camp Registration

    Summer Camp Registration

    BDC After School & Summer Camp

  • BDC After School & Summer Camp Headquarters

    3242 Parris Bridge Rd, Boiling Springs, SC 29316

    864-699-9390*Option 2  

    371 Successful Way Spartanburg, SC 29303

    864-699-9390*Option 3

    www.backstagedanceconnection.com BDCafterschoolsummercamp@gmail.com

  • Date of Birth
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    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
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  • How did you hear about us: 

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  • REGISTRATION FEE:

    $50.00 Registration Fee for New Campers, $75.00 for a family $25.00 For Returning Summer campers, $40.00 for a family Early Registration for Current After Schools Students $15.00 per camper

  • CAMP SESSIONS:

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    Tuition: $165.00 a week. Tuition is NOT Prorated based on attendance. Tuition is due on Mondays of each week. Either via auto draft, check or cash in ADVANCE OF THE WEEK YOU ARE ATTENDING.

    Your credit/debit card will be billed weekly on Mon. $165.00 for weekly tuition.

  • Please indicate which camp session you are registering for. You are allotted ONE vacation week per summer in which you not pay tuition if your child does not attend. (Check as many boxes as apply)

  • Enter Your Payment Information 16 # card number

  • Exp Date
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    2 digit month, 2 digit day, 4 digit year

  • I have read, understand and agree to the terms of this registration form.

  • Date
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    2 digit month, 2 digit day, 4 digit year

  • AUTHORIZED PICK UP LIST/EMERGENCY MEDICAL RELEASE COMPLETE ONE FORM PER CHILD

  • PICK UP LIST:

  • Anyone picking up a camper must provide a photo I.D. and be listed below.

    Parent/Guardian Name: Parent/Guardian Name:

  • Format: (000) 000-0000.
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  • List up to 3 other people (other than parent/guardian) who are authorized to pick up the camper and should be contacted in case of a medical emergency or emergency pick-up if parent/guardian cannot be reached.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • In case of an emergency, I understand every effort will be made to contact me or the emergency contact persons listed above. In the event that we cannot be reached, I hereby give permission to the physician listed on the form to hospitalize, secure proper treatment and to order anesthesia or surgery for my child.

  • Format: (000) 000-0000.

  • Does your child need to take medication(s) during camp (circle one)? YesNo

  • The Permission to Administer Medication form must be completed and given to the Camp Director on the first day of each camp session. Medications must be accompanied by the original physician's prescription with clearly written directions. If your child has other special needs (language, learning disability, speech, hearing, food allergies, etc please contact the Camp Director at 864-699-9390, ext.2 to discuss the specifics.

  •  I authorize Backstage Dance Connection, LLC and BDC A/S & S/C, LLC as agent for the undersigned to consent with respect to said minor, to an x-ray examination, anesthetic, medical, dental or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to rendered under general or special supervision of, any physician or surgeon licensed under the provisions of the SC Medical Practice Act on the medical staff of any hospital, whether such diagnosis or treatment is rendered at the office of the physician or at the hospital. I understand that Backstage Dance Connection, LLC and BDC A/S & S/C, LLC is not responsible for costs incurred for medical care. By signing, I grant Backstage Dance Connection, LLC and BDC A/S & S/C, LLC, its representatives, and employees the right to take photographs of me, my property, and or my family for purposes of promoting and/or advertising Backstage Dance Connection, LLC and BDC A/S & S/C, LLC. I authorize Backstage Dance Connection, LLC and BDC A/S & S/C, LLC. to copyright, use and publish in print and/or electronically. I understand and agree that Backstage Dance Connection, LLC and BDC A/S & S/C, LLC. may use such photographs with or without labeling for any lawful purpose, including but not limited to: publicity, illustrations, advertising, marketing and web content. I understand that the photos will be used for promotion purposes and compensation will not be given. Parents/Guardians, Campers, Dancers & Tumblers recognize the risk of injury in any dance or tumbling program. I acknowledge that injury may occur. By signing, I agree to release Backstage Dance Connection, LLC and BDC A/S & S/C, LLC, its employees, directors, and volunteers from any and all liability to such an incident on or off our premises. I give consent for Backstage Dance Connection, LLC and BDC A/S & S/C, LLC staff to render appropriate judgment should my child have an accident or need medical attention if neither parent/guardian can be reached. I understand and accept these risks and hereby release Backstage Dance Connection, LLC and BDC A/S & S/C, LLC. from all liability for any injuries. I hereby agree not to hold Backstage Dance Connection, LLC and BDC A/S & S/C, LLC, its employees, directors, and volunteers for any damages or liabilities due to theft of personal items. Iagree to pay Backstage Dance Connection, LLC and BDC A/S & S/C, LLC any Tuition Fees and all associated charges by Automatic Draft on Monday of each week or by check or cash in advance. If you do not have a credit/debit card; tuition is due in advance on Friday for the following week's care. Should this provision have to be enforced by legal means, the undersigned person(s) is responsible for payment, as well as, cost of collections, court fees, etc. Tuition and fees are non- refundable and there are no cash refunds on accounts carrying credits. Overpayments will result in a credit to your account.

    Your Registration Fee is due at the time of registration to reserve your child's place in the after school/summer camp program. In order to attend classes at BDC, the undersigned person(s) agrees to pay a non-refundable Registration Fee.In the event of withdrawal from classes, the registration fee will be forfeited to assist with the administrative costs of enrolling your child in our studio-class management system.

  • I hereby grant permission for my child to ride the BDC After School Summer Camp Headquarters bus for any field trip and/or bus route to or from the BDC facility at anytime while enrolled at the BDC After School/Summer Camp Program.

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