Summer Dance Camp Application Form

Summer Dance Camp Application Form

Please fill out this form completely to register for the upcoming summer dance camp.

Participant Information

Name

    Date of Birth

      Age

        Address

          Phone number

            Email

              Emergency Contact Information

              Name

                Relationship to Participant

                  Phone number

                    Alternate Phone number

                      Dance Experience

                      Please list any previous dance experience or classes attended

                        Preferred Dance Styles

                        (Select all that apply)

                          • Ballet

                          • Jazz

                          • Hip-Hop

                          • Contemporary

                          • Tap

                          • Salsa

                          • Ballroom

                          Medical Information

                          Does the participant have any medical conditions or allergies?

                            Parent/Guardian Consent

                            I give my consent for my child to participate in the summer dance camp and authorize necessary medical treatment in case of emergency.

                            Name:

                            Date:

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