Summerween Dance Camp Registration Form
Fill out the form carefully for registration
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Ex: 01/08/1999
Gender
Please Select
Female
Male
Parent Name
First Name
Last Name
Parent Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Dance Camp T-shirt Size
Please Select
X-Small Child
Small Child
Medium Child
Large Child
Payment
Please Select
Cash
Check
Please Pay by July ,2024
Additional Comments
Ex: Allergies
Contact Us!
📞 (608)365-2801 📧marxdanceacademy@gmail.com
Submit
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