Dance Adventure Summer Camp Registration

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Note1: The "Lives with" field refers to who the camper lives with, i.e. father, mother, parents, grandparents, etc.

Note2: Only fill this application out if you've checked in with Jennie Miller.

Note 3: Pricing is slightly higher if you are paying by credit card. If you would like to pay by check, when you go to pay you will be given a code to enter to give you a pay-by-check discount.

Note 4: Dance Adventure Week 2 is more expensive because of a $40 trip fee - all campers in camp that week go to an amusement park.

'Camper' Information

    'Parent 1' Information Copy contact information from 'Camper'

  1. 'Parent 2' Information Copy contact information from 'Camper'

  2. 'Emergency Contact 1' Information

By clicking the submit button, you are certifying that the above information is accurate to the best of your knowledge.


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