Current Rhythms' Registration Form
Please complete this form before camp begins on Monday, June 10, 2019. All students MUST BE registered and paid in full to attend camp. Please contact Marita or Alyssa should you need to make other arrangements BEFORE camp begins. Thank you! We look forward to moving with you!
First & Last Name of Student(s) *
Email *
Mailing address *
Telephone *
First & Last Name of Parents/Guardians *
Emergency Contact Name & Phone
Age of student(s) *
Student's date of birth
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Student's date of birth
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Student's date of birth
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Camp enrolling in: *
Required
Does your dancer(s) have any allergies? *
If YES for allergies, please list here: *
Does your dancer(s) have any injuries we should know about? *
Occasionally we use photos and video on our website, Facebook Page, Instagram and flyers. Do you give permission for us to use pictures or video of your child in this capacity? *
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