Summer Dance Camp Registration 🌞💃🎶

Summer Dance Camp Registration 🌞💃🎶

Register for the June 8-11 K-pop themed camp and prepare to dance and have fun.
Dancer Full Name

First NameLast Name
Birthday

MonthDayYear
Male or Female
Parent or Guardian Name

First NameLast Name
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
June 8th - 11th 5:30-7:30 for $65
Total
Payment Options
If using an app, please provide your app name to send invoicing. If paying by cash or check, please type "NO NAME NEEDED" and we will call you to collect payment.
RELEASE FROM LIABILITY: I do hereby release Victoria AllStar Dance Academy and its staff from any liability occurring on or around studio premises, or at any function held at other locations in connection with the dance classes in which the student named above is enrolled. I declare that the student named above is in good health and can participate in dance education classes. Given the nature of dance classes, and with the knowledge that injuries sometimes might occur, I have taken the necessary steps to obtain accident, health, or hospitalization insurance which would cover any sustained injury. In the event of an injury or emergency when I cannot be contacted, I give my permission for you to obtain medical services for the student named above. AUTHORIZATION FOR ENROLLMENT: I authorize Victoria AllStar Dance Academy to enroll the student named on this form in dance camp, and I accept responsibility for the payment of tuition for those camps and/or classes for which the student is registered. I understand that camp sessions with an enrollment of less than 10 campers and dance classes with enrollment of less than 5 are subject to cancellation. I understand that registration fees are non-refundable and that there are no refunds or deductions for camp or class days not attended.
Signature
All fees are non-refundable.
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