Dance Camp Registration Form

SUMMER DANCE CAMP Registration

August 11-14, 2025
1/2 DAY: 9AM-12PM (AGES 4-6) $120

FULL DAY: 9AM-3:30PM (AGES 7+) $250
Dancer's Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail
example@example.com
Mobile Number
Dance Camp:
Payment: $

E-Transfer: darleneharpwood@gmail.comCash (due 1st day of camp)
Should be Empty: