EmailMeForm
2019 Mini Dance Camp
Monday, June 3 – Thursday, June 6
9:00 a.m. - 12:00 p.m.
GIRLS Entering PreK through 6th Grade
Weekly Rate: $150
0%
Entering what grade level
*
Please select
PreK
K
1
2
3
4
5
6
Child's Name
*
First
Last
Child's Birthday
*
MM
/
DD
/
YYYY
Parent/Guardian #1
*
First
Last
Parent/Guardian #1 Relationship to Camper
*
Please select
Mother
Father
Grandparent
Legal Guardian
Parent/Guardian #1 Cell
*
###
-
###
-
####
Parent/Guardian #1 Work Phone
###
-
###
-
####
Parent/Guardian #1 Place of Business
*
Parent/Guardian #1 Email
*
Is there a second Parent/Guardian to add?
Yes
No
1
/
4
Total
$0.00
