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Dancer Information
Name
Age
Sex Male Female
Date of Birth
Phone
Email
Address
Town/City
Postal Code
Dance Studio
Personal Health Care#
Province

Emergency Contact Information
Emergency Contact
Emergency Phone
Relationship to Dancer

Additional Information
Roommate Request

Select Program
Junior Program
Intermediate 1
Intermediate 2
Advanced

Shirt Size (included in fees)
Child (6-8)
Child (10-12)
Adult XS
Small
Medium
Large
Adult XL

Rafting
Will there be family members on the raft? Yes No
How many?
*cost per extra person is $30.00 - please include payment with registration. registered campers and dorm parents do not pay this fee.

Dorm Parents
Would you like to be a dorm parent? Yes No
Your Full Name
Any health concerns we should be aware of
Your shirt size S M L XL
*you will be contacted with more information regarding the dorm parent application process shortly.

Payment Please complete the payment details so that we may process your registration.

Summer Camp
Accommodation and Meals ($250 for dancer)
Added rafting participants($30.00 per guest)