Showtime Dance Promotions - Summer Camp Registration

Summer Camp Registration Form

Name:

Age:

Male Female

Phone:

Email:

Address:

Town/City:

Postal Code:

Dance Studio:

a.h.c. #

Emergency Contact:

Emergency Phone:

Please Select One:

Child (10-12):

Adult sm:

Adult med:

Adult lg:

Adult xl:

Yes

How Many?

*cost per extra person is $30.00 - please include payment with registration

If you want to be a dorm mom then fill out the fields below otherwise proceed to pay Payment
Any health concerns we should be aware of:
Would you like to be a dorm mom?	Yes No
*Please send an application letter with this registration form. We will notify you with confirmation, as positions for dorm moms are limited.
Your shirt size:	S M L XL
Payment
Summer Camp:	$ ($680 for the registrant)
Accomodation and Meals	$ ($200 for the registrant)
Added rafting participants ($30.00 per guest)	$ ($30 per additional guest)