APA Summer Dance 2019 Registration Form
Fill out the sections below to enroll in the 2019 APA Summer Dance Camp. There is a space at the bottom of this form to check your intended form of payment; however, payment is NOT required upon completion of the form but must be submitted to the APA OFFICE ON OR BEFORE THE START DATE OF THE CAMP (7-8-19). Please make checks payable to APA DANCE GUILD.
Dancer's Full Name
Dancer's Age and Grade (as of 2019-20 school year)
Date of Birth
Training Background (e.g. Dance Studio Name, Number of Years, Styles Trained)
Dancer's Home Phone
Dancer's Cell Phone
Dancer's Email Address
Parent's/Guardian's Home Phone
Parent's/Guardian's Cell Phone
Parent's/Guardian's Email Address
Emergency Contact Information: First and Last Name, Home Phone, Cell Phone, Email
Method of Payment (Camp Cost: $500) Payments must be paid In-Person at the APA Office on or before the first day of APA Summer Dance
Card (Mastercard or Visa)
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