Moving Field Guide Registration -- Spring Break Camp
Use this form below to register your child for the Moving Field Guide Spring Break Camp for Ages 6-10
Monday, March 26th, 2018 - Friday March 30th, 2018.

Join Dance Exchange artists and naturalists to explore nature and the stories of where we live. Help Dance Exchange celebrate 20 years in Takoma Park during a fun-filled week of creating art and making new connections to each other and to our environment. Learn more about the camp and see a video at

$300 registration fee *Generous scholarships are available. Don't let price be a barrier to joining us!

Upon completion of this form, you will be directed to next steps for processing payment or a scholarship application.

Camp details:
Monday- Friday 9:30a-3:30p

Location: Dance Exchange
7117 Maple Ave
Takoma Park MD, 20912

Dance Exchange is located two blocks from the Takoma Metro Station, has free lot parking, and is handicap accessible.

If registering more than one camper, please repeat this form.

Please e-mail Sam Horning at or call 301-270-6700 x 19 with any questions about programming, scholarships, or registration.

Full Name of Camper *
Your answer
Camper's Date of Birth *
Any medical conditions we should know about?
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Parent/Guardian Mailing Address (Street) *
Your answer
Parent/Guardian Mailing Address (City, State) *
Your answer
Parent/Guardian Mailing Address (Zip code) *
Your answer
Parent/Guardian Daytime Phone *
Your answer
Parent/Guardian E-mail Address *
Your answer
Emergency Contact Full Name *
Your answer
Emergency Contact Daytime Phone *
Your answer
How did you hear about this program? *
Are you interested in applying for a need-based scholarship? *
Any additional questions or information for us?
Your answer
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