Amy Lynns Dance Studio

ONLINE REGISTRATION FORM
Welcome To Our 2009 Summer Dance Camp
Students Last Name
First & Middle Name
Date of Birth
Age
Grade
Address Street 1
Address Street 2
City
State
Zip Code
Parents First & Last Name
Home Phone
Work Phone
Cell Phone
Email Address
Emergency Contact Name & Number
List Previous Dance Experience & Number Of Years	Example: Tap 2 years
Classes You Would Like To Register For (Can Check More Than One)	PRINCESS BALLET CAMP AGES 3-7 SESSION 1 DATES: JULY 13, 14 & 15 TIME: 10:15 A.M.—11:00 A.M. $40.00 HIGH SCHOOL MUSICAL 3 JAZZ & HIP HOP CAMP AGES 7-12 DATES: JULY 13, 14 & 15 TIME: 11:00 A.M.—12:00 $40.00 HIGH SCHOOL MUSICAL 3 CAMP AGES 3-6 DATES: JULY 20, 21 & 22 TIME: 10:15 A.M.—11:00A.M. $40.00 HIGH SCHOOL MUSICAL 3 JAZZ CAMP AGES 7-12 DATES: JULY 20, 21 & 22 TIME: 11:00 A.M.—12:00 $40.00 LYRICAL/BALLET CAMP AGES 8-13 DATES: JULY 20, 21 & 22 TIME: 12:00 —1:00P.M. $40.00 HANNAH MONTANA 2 DAY DANCE CAMP AGES 3-6 DATES: AUGUST 4, & 5 TIME: 5:15 P.M.—6:00P.M. $25.00 HANNAH MONTANA 2 DAY DANCE CAMP AGES 7-12 DATES: AUGUST 4, & 5 TIME: 6:00 P.M.—6:45P.M. $25.00 HIGH SCHOOL MUSICAL 3 TAP DANCE CAMP AGES 7-12 DATES: AUGUST 10, 11 & 12 TIME: 5:00 P.M.—6:00P.M. $40.00 HIGH SCHOOL MUSICAL 3 JAZZ & HIP HOP CAMP AGES 7-12 DATES: AUGUST 10, 11 & 12 TIME: 6:00 P.M.—6:45 P.M. $40.00 INTERMEDIATE/ADVANCED HIP HOP CAMP AGES 13-18 DATES: AUGUST 10, 11 & 12 TIME: 6:45 P.M.—7:45 P.M. $40.00 INTERMEDIATE/ADVANCED JAZZ & JAZZ TECHNIQUE CAMP AGES 13-18 DATES: AUGUST 10, 11 & 12 TIME: 7:45 P.M.—8:45 P.M. $40.00 ROCKETTE CLASS AGES 13-18 DATES: AUGUST 10, 11 & 12 TIME: 8:45 P.M.—9:30 P.M. $35.00
How Did You Hear About Our Studio?
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