• KIDS DANCE FREE Summer Dance Convention Registration Form

  • Hosted by KEDA Co Performing Arts

  • Location: Bethune-Cookman Performing Arts Center 7/11 and and 7/25

    698 W. International Speedway

     

    Kinetic Expressions Dance Acdemy 7/18

    3100 S. Ridgewoodf Ave Suite 200

  • Convention Dates: Saturdays — July 11, July 18, & July 25 9:00am-12:00pm

  • Student Information

  • Date of Birth:
     - -
  • Format: (000) 000-0000.

  • Emergency Contact Information

  • Format: (000) 000-0000.

  • Dance Experience

  • Please check all styles the student has experience in:
  • Please check all styles the student has experience in:

  • Convention Attendance

  • Please select the dates your child will attend:
  • Please select the dates your child will attend:

  • Medical Information

  • Parent/Guardian Waiver & Consent

  • I understand that participation in dance and physical activity involves some risk of injury. I hereby release KEDA Co Performing Arts, Bethune-Cookman Performing Arts Center, instructors, staff, and volunteers from liability for injuries or accidents that may occur during participation.
  • I authorize emergency medical treatment if necessary.
  • I also give permission for photographs and video recordings taken during the event to be used for promotional and educational purposes.
  • Date:
     - -

  • Event Information

  • KIDS DANCE FREE Summer Convention provides free dance classes, movement education, performance workshops, and enrichment opportunities for youth dancers in a fun and supportive environment.
  • Participants should arrive in comfortable dance attire with water and appropriate dance shoes or sneakers.
  • For additional information, please contact:
  • KEDA Co Performing Arts
  • Email: kedacoperformingarts@gmail.com
  • Phone: 386-882-KEDA
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  • Should be Empty: