Summer Dance Intensive Registration Form 🩰🌞
Complete the registration from and pay SPECIAL registration rate of $25 from now until May 30th.
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
 -
Month
 -
Day
Year
Date
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
REGISTRATION FEE
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Summer Intensive/ Summer Camp Registration SPECIAL
Register between now- May 30th under the special rate! Fee is per dancer.
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Â
Â
Does the participant have any allergies or medical conditions?
How did you hear about our camp?
Please Select
Friend/Family
Social Media
Dance Studio
Website
Other
Additional Comments or Requests
Payment Methods
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Buy with
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