Break It Down Camp Registration Form
Please fill out the following form to register for Break It Down Camp. After submitting your registration, mail your check (payable to Woodson High School Precisionettes) or cash to the address below:

Woodson Athletics Office
Varsity Dance Team
9525 Main Street
Fairfax, VA 22031

Should have any additional questions, please email our Head Coach (Krissy Schnebel) at wtwdanceteam@gmail.com
Dancer's Last Name *
Dancer's First Name *
Dancer Birthday *
MM
/
DD
/
YYYY
Dancer's Current Grade Level (2019-2020) *
Dancer's Email Address
Dancer's Home Address *
Parent/Guardian Name (First and Last) *
Parent/Guardian Email Address *
Parent/Guardian Cell Phone # *
Additional Parent/Guardian Email Address
Emergency Contact (Name and Phone Number) *
Does your dancer have any medical concerns/issues (asthma, diabetes, allergies, etc.), if so, please list them below or write NONE *
Tell us about your dancer's previous dance experience (studios, styles, years studied, etc.) *
My dancer attend the following day(s) of Break It Down (you may check more than one date if not attending the whole session). *
Required
PARENT & STUDENT RELEASE: Dancing is a strenuous activity from which injuries could arise. Break It Down, the Instructors and Precisionettes are NOT LIABLE for personal injuries, loss of, or damage to personal property. Each student may decline to participate in any activity. Please inform coaches of any physical limitations you may have. If you are in doubt as to your physica labilities, please consult your physician before participating. By writing my dancer's name below, I acknowledge that I have read and understand the policies, and I agree to the payment for this session(s). *
I have read and understand the financial cost of Break It Down and will be mailing a check (payable to Woodson High School Precisionettes) or cash for the amount below by 3/20. *
Please use this section to let us know anything else about your dancer, and email us at wtwdanceteam@gmail.com with any questions.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy