Registration – Summer Dance Camp Pasadena

Cost: $90/student Early bird rate $75 if registered by June 17 $85 online after June 17

To register, complete the online registration form,

Student's Name:

Please check

I have read and accept the terms of registration

Today's Date

Student's birthday

I/My Student is a

New student

Returning student

Student's dance experience, if any

Mother's Name

Father's Name

Complete Address: Street, City, State, Zip

Contact Phone number

Contact email

In an emergency, contact: Please include name, relationship, Home phone, cell phone, work phone

Is there someone other than the mother or father who will bring the child to class on a regular basis?

Yes

No

If yes, please include name, relationship and contact phone.

You have my permission to take and use photographs of my child to promote the class or use on a website for this class.

yes

no

I would like to receive email updates about Worship Dance Ministries

yes

no

How did you learn about this class? If from a friend, please share their name.

Facebook

Fundamentals event

Church (which church?)

Online

From a friend (please share from whom)

If you heard about it from your church or a friend, please list their name.

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Or, you can download the following files and mail tuition check and forms to me. Email me for mailing information. To download, first click on the image, then select print from your browser menu.