Summer Dance Camp with Instructor Autumn Gold

  • Summer Dance Camp with Instructor Autumn Gold

    Youth Dance & Dramatic Movement | For Ages 10-17

  • Camper's Information

  • Gender*

  • Please select which Option(s) your child would like to attend

  • Parent or Legal Guardian Information

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  • Emergency Contact Info

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  • Email Confirmation

  • Other Information

  • Health Information

  • Are immunications up to date?

  • Dance Camper Photo Release

  • I agree that photos of my child can be taken on used on for camp social media purposes

  • Payment Information

    $180.00 for camp + $20 for dance costumes = $200 per month
  • Method of payment
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    • Be certain to enter your email address correctly on the registration form to receive confirmation via email.

  • By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18.  In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named camper by authorized personnel.  The camp carries secondary insurance.  I understand that the above named camper will only be released to the names listed above, an update may be done at registration.  I certify that my child has my permission to attend camp and participate in all activites. 

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