Rising Stars Studio of Dance SUMMER CAMP
Student's Name
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Age
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Mailing Address
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Parent Email Address
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Contact Phone Number
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Medical or Health Conditions? If yes, please list
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Please select which camp(s) you are registering for
Name on Credit Card
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Credit Card Number
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Credit Card Expiration Date
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As the legal parent/guardian I release and hold harmless Rising Stars Studio of Dance, It's owners and operators from any liability, claims, demands and any action whatsoever, arising out of or related to any loss, damage or injury that may be sustained by the participant, and/or the undersigned, while in or on the premises of Rising Stars Studio of Dance, or under the supervision of its owners, operators or teachers. I also give Rising Stars Studio of Dance the right to use my child's photo for their website and other social media outlets
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