Summer Camp Registration
2026 Dance Box Miami Summer Program
Student Name 1
First Name
Last Name
Students Age 1
Please Select
5
6
7
8
9
10
11
12
13
Current age
Shirt Size 1
Please Select
XS Youth
S Youth
M Youth
L Youth
XL Youth
S Adult
M Adult
Current age
Student Name 2
First Name
Last Name
Students Age 2
Please Select
5
6
7
8
9
10
11
12
13
Current age
Shirt Size 2
Please Select
XS Youth
S Youth
M Youth
L Youth
XL Youth
S Adult
M Adult
Current age
Parent Name
First Name
Last Name
Mobile Number
-
Area Code
Phone Number
Email
Instagram Account
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
First Name
Last Name
Please List any Allergies or Medical Conditions:
Camp Start Date
Registration Payment
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Summer Camp Registration
$50.00
$
50.00
Quantity
1
2
3
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10
Sibling Registration
$80.00
$
80.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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