Student Name
Date Of Birth
Age
Address
Parent/Guardian Name
Contact Telephone
Cell Phone
Emergency Contact Name
Emergency Telephone
Emergency Cell Phone
Doctor Name
Doctor Telephone
List Any Allergies Your Child May Have
Summer Dance Program Registration 2011
If you would Like To Register For Dance Camp check all that apply.
What Size T-Shirt Would You Like?
If you would Like To Register For Dance Classes check all that apply.
Tiny Dancers
Dancer's Challenge
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E-mail Address
I will not attend the full week, but rather attend only on the following days:
Full 6 week session check here:
Pop in and pay as you go check here:
Please note we reserve the right to cancel any camps or classes that do not recieve more then 4 sign ups.
In this case your deposit and payments will be fully refunded.
There is no deadline to sign up, we will accept new registrations at any time as long as there is space.
We will accept 12 campers per day, per age group and 12 dancers per afternoon class.
All camps will have 3 adult teachers present and a few teenage assistants.
Please Mail a $25 Deposit to hold your spot
Send it to our home office at:
Creative Steps Dance Studio
56 Westminster Ave.
Watertown, Ma. 02472
(note that all classes and camps are held at our studio in Newton Corner)
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