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ONLINE REGISTRATION FORM
Welcome To Our 2010 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
Classes You Would Like To Register For (Can Check More Than One)

CINDERELLA PRINCESS BALLET CAMP/ JAZZ COMBO AGES 3-7
DATES: JULY 12, 13 & 14 TIME: 10:15 A.M.— 11:00 A.M.
$40.00

POP STAR JAZZ CAMP AGES 5-8
DATES: JULY 12, 13 & 14 TIME: 11:00 A.M.— 11:45 A.M.
$40.00

SELENA GOMEZ/TAYLOR SWIFT JAZZ CAMP AGES 8-12
DATES: JULY 12, 13 & 14 TIME: 11:45 A.M.— 12:00 P.M.
$40.00

LYRICAL/BALLET CAMP AGES 8-12
DATES: JULY 12, 13 & 14 TIME: 12:30 P.M.— 1:30 P.M.
$40.00

AMERICAN GIRL BALLET & JAZZ CAMP AGES 3-7
DATES: JULY 19, 20 & 21 TIME: 9:30 A.M.— 10:15 A.M.
$40.00

TINKERBELL PRINCESS BALLET CAMP AGES 3-7
DATES: JULY 19, 20 & 21 TIME: 10:15 A.M.— 11:00 A.M.
$40.00

POP STAR JAZZ CAMP AGES 5-8
DATES: JULY 19, 20 & 21 TIME: 11:00 A.M. — 11:45 A.M.
$40.00

SELENA GOMEZ/TAYLOR SWIFT JAZZ CAMP AGES 8-12
DATES: JULY 19, 20 & 21 TIME: 11:45 A.M.— 12:30 P.M.
$40.00

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