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
Your answer
Dancer's Age and Grade (as of 2019-20 school year)
Your answer
Date of Birth
Your answer
Experience
Training Background (e.g. Dance Studio Name, Number of Years, Styles Trained)
Your answer
Dancer's Home Phone
Your answer
Dancer's Cell Phone
Your answer
Dancer's Address
Your answer
Dancer's Email Address
Your answer
Parent's/Guardian's Name
Your answer
Parent's/Guardian's Home Phone
Your answer
Parent's/Guardian's Cell Phone
Your answer
Parent's/Guardian's Address
Your answer
Parent's/Guardian's Email Address
Your answer
Emergency Contact Information: First and Last Name, Home Phone, Cell Phone, Email
Your answer
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
Submit
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