Registration Form Summer 2017
Dancer Name: _____________________________________
Age: ____________
Parent/s name: ________________________________
Address: _____________________________________
Phone: ______________________
Email: _______________________
Class 1:_________________________________ Cost: _____
Class 2:__________________________________ Cost:_____
Class 3:__________________________________ Cost:_____
Who is picking dancer up: ______________________________________
Circle all that apply
Refer a Friend discount $5 Name:______________________
Multi-camp discount $5
Registered before May 5st $5
10% off siblings
Total cost for camp/s minus discounts: