DanceWorks Summer Camp Registration Form

Summer Registration Form

Please fill in the form below.
Student Name *

First Name Last Name
Parent/Guardian Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Emergency Contact Name

First Name Last Name
Emergency Contact Phone

Area Code Phone Number
E-mail *
Student Birthdate *
Student School
Student Grade
T-Shirt Size
Summer Camp Options

Click on all applicable classes for this particular student. Please fill out separate forms for separate registrants. Please note that for the Specialty Camp there is a secondary section for students to indicate which classes they are most interested in.
Week of Preference

Aug 10 - 14 Week Aug 17 - 21 Week Both
Type of Registration

Full Day Registration ($160) -- Age 9+ 1/2 Day Registration ($80) -- Ages 6-8
Medical Information to be aware of (allergies, injuries, etc.)
Waiver

By clicking "yes" to the following waiver and submitting this form, you thereby: 1. give permission for your child to attend the camp, as well as; 2. acknowledging that you will need to sign a liability waiver in lieu of the current events. Our goal and focus is to provide this opportunity for our kids and we work hard towards creating safe environments in our various classes.
Waiver Agreement

Yes No
Thank-you

Thank-you for registering for our summer Triple Threat Camp. We are excited for this summer's event and look forward to have your registrant join us. Please note that as registrations come in, our staff will process the registration and connect with you about any further details and payment arrangements. If you do not receive an email response within a week, please connect with us to make sure that we have received your submission (just to make sure).
Should be Empty:

Summer Registration Form

Summer Camp Options

Waiver

Thank-you