Please choose the week of camp you're registering for (one form per week - if registering for two weeks, please complete a second copy of this form):
*
Week 1 (August 3 - August 7)
Week 2 (August 10 - August 14)
Please choose the number of campers you will be registering for this week of camp:
*
Please Select
1
2
3
4
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Camper 1 Information
Camper 1 Name
*
First Name
Last Name
Camper 1 Allergies
Any needs we should be aware of for Camper 1?
Camper 1 Age During Camp
*
Please Select
4
5
6
7
8
9
10
11
12
13
14
Camper 1 Activity Selection
Please select one option per session. Please select a total of TWO dance options and ONE craft option.
Ages 4-8
Session 1
*
Ballet/Lyrical
Hip Hop
Craft
Session 2
*
Acro
Craft
Session 3
*
Musical Theater
Craft
Ages 9-14
Session 1
*
Hip Hop
Craft
Session 2
*
Ballet/Lyrical
Acting
Craft
Session 3
*
Musical Theater
Acro
Craft
Camper 1 Tee Shirt Size
Please choose a tee shirt size for Camper 1
*
Please Select
Youth XS (4-5)
Youth S (6-7)
Youth M (8-10)
Youth L (10-12)
Youth XL (14-16)
Adult S
Adult M
Adult L
Camper 2 Information
Camper 2 Name
*
First Name
Last Name
Camper 2 Allergies
Any needs we should be aware of for Camper 2?
Camper 2 Age During Camp
*
Please Select
4
5
6
7
8
9
10
11
12
13
14
Camper 2 Activity Selection
Please select one option per session. Please select a total of TWO dance options and ONE craft option.
Ages 4-8
Session 1
*
Ballet/Lyrical
Hip Hop
Craft
Session 2
*
Acro
Craft
Session 3
*
Musical Theater
Craft
Ages 9-14
Session 1
*
Hip Hop
Craft
Session 2
*
Ballet/Lyrical
Acting
Craft
Session 3
*
Musical Theater
Acro
Craft
Camper 2 Tee Shirt Size
Please choose a tee shirt size for Camper 2
*
Please Select
Youth XS (4-5)
Youth S (6-7)
Youth M (8-10)
Youth L (10-12)
Youth XL (14-16)
Adult S
Adult M
Adult L
Camper 3 Information
Camper 3 Name
*
First Name
Last Name
Camper 3 Allergies
Any needs we should be aware of for Camper 2?
Camper 3 Age During Camp
*
Please Select
4
5
6
7
8
9
10
11
12
13
14
Camper 3 Activity Selection
Please select one option per session. Please select a total of TWO dance options and ONE craft option.
Ages 4-8
Session 1
*
Ballet/Lyrical
Hip Hop
Craft
Session 2
*
Acro
Craft
Session 3
*
Musical Theater
Craft
Ages 9-14
Session 1
*
Hip Hop
Craft
Session 2
*
Ballet/Lyrical
Acting
Craft
Session 3
*
Musical Theater
Acro
Craft
Camper 3 Tee Shirt Size
Please choose a tee shirt size for Camper 3
*
Please Select
Youth XS (4-5)
Youth S (6-7)
Youth M (8-10)
Youth L (10-12)
Youth XL (14-16)
Adult S
Adult M
Adult L
Camper 4 Information
Camper 4 Name
*
First Name
Last Name
Camper 4 Allergies
Any needs we should be aware of for Camper 4?
Camper 4 Age During Camp
*
Please Select
4
5
6
7
8
9
10
11
12
13
14
Camper 4 Activity Selection
Please select one option per session. Please select a total of TWO dance options and ONE craft option.
Ages 4-8
Session 1
*
Ballet/Lyrical
Hip Hop
Craft
Session 2
*
Acro
Craft
Session 3
*
Musical Theater
Craft
Ages 9-14
Session 1
*
Hip Hop
Craft
Session 2
*
Ballet/Lyrical
Acting
Craft
Session 3
*
Musical Theater
Acro
Craft
Camper 4 Tee Shirt Size
Please choose a tee shirt size for Camper 4
*
Please Select
Youth XS (4-5)
Youth S (6-7)
Youth M (8-10)
Youth L (10-12)
Youth XL (14-16)
Adult S
Adult M
Adult L
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Parent/Guardian Information
Primary Contact Name
*
First Name
Last Name
Primary Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Contact Email Address
*
example@example.com
Secondary/Emergency Contact Name
*
First Name
Last Name
Secondary/Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary/Emergency Contact Email Address
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Agreement and Invoice Info
Please review and complete all sections below, then click the "Submit" button
RESERVATION - I understand that my child's spot in camp is not reserved until full payment has been received by In Focus Dance Center.
CHEERFUL COOPERATION - I agree to abide by the rules set forth by the studio.
MEDIA RELEASE - I understand that photos and videos will be taken during the course of camp week. I understand and agree that my child's image/likeness may be used in advertising, press releases, or social or print media without expectation of recompense.
LIABILITY - I, the undersigned parent and/or legal guardian of the camper(s) attending, do hereby give permission for the aforementioned person (or persons) to participate in any and all camp-related classes, programs, shows, and events offered by In Focus Dance Center, LLC (“the Center”). I accept all risks associated with that participation and understand that there is a full possibility of serious physical injury. I understand and accept that the Center, its staff, instructors, or their landlords are not responsible for injury to myself or my child(ren), whether based on allegations or not, in any way, by any reason of my participation in the Center’s classes, rehearsals, performances, and/or any other related events. I also affirm that I now have and will continue to carry proper medical, health, hospitalization, and accident insurance, which I consider adequate for my dancer. I understand and accept that the Center is not responsible for the immediate medical needs of its students. In consideration thereof, I agree to keep updated emergency contact information on file where a contact person may be reached during class, classes, rehearsals, performances, and related programs/events. I understand and accept that dance instruction may include or require an instructor to physically touch a dance student during class time for purposes of alignment or correction of proper dance technique. I understand and accept that the Center will not be held responsible for any loss or damage to any personal property brought onto the premises or at performance/rehearsal sites.
I have read and agree to the terms above
*
First Name
Last Name
Email address for invoice
*
example@example.com
Submit
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