SUMMER CAMPS 2026
DANCER & PARENT/GUARDIAN INFO
DANCER'S NAME
*
First Name
Last Name
BIRTHDATE
*
-
Month
-
Day
Year
Date
Any Medical Information or Allergies we should be aware of?
Examples: Nut Allergy
PARENT/GUARDIAN NAME
*
First Name
Last Name
PARENT/GUARDIAN EMAIL
*
example@example.com
Phone Number
*
Please enter a phone number
Format: (000) 000-0000.
Which Camp/Classes would you like to enroll your dancer?
*
DANCE CAMP (JULY 6-10)
INTENSIVE CAMP (JULY 13-17)
XTREME ACRO CAMP (AUGUST 10-14)
PAYMENT METHOD PREFERENCE FOR CAMP DEPOSITS ($50/CAMP)
*
E-TRANSFER (to just4kicksacademy@gmail.com)
Debit/Credit (In Office)
Cash (In Office)
CLICK HERE TO SUBMIT REGISTRATION!
Should be Empty: