Spring Break Adventure Camp (April 15-16)
It's Spring break and we're hosting a TWO DAY Dance, Play, Create and Explore Adventure camp! We have 3 Different age groups for you to choose from!

Option 1: Potty Trained - 5yrs half day (9:00am-12:00pm) ($40 +gst)

Option 2: 6-9yrs half day (12:30pm-3:30pm) ($40 +gst)

Option 3: 6-9yrs full day (9:00am-3:30pm) ($60 +gst)

Option 4: 9+yrs full day (9:00am-3:30pm) ($60 +gst)

Westland Dance Co. Rocky Mountain House Location
5008 50th street, RMH

Drop off between 8:30-9:00am
Pick up between 3:30pm-4:00pm

Please wear moveable clothing, bring a bagged lunch, water bottle and snacks for throughout the day.
Email address *
Which Camp are you registering for? (Pricing includes GST) *
Parent's name *
Your answer
Name of child attending: *
Your answer
Date of Birth of child attending: *
Allergies or Medical Conditions we need to be aware of: *
Your answer
Emergency Contact Name and Phone Number: *
Your answer
LIABILITY: I, the undersigned, release and hold harmless Westland Dance Co., its organization from any and all liability, claims, demands and causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by myself/child/participant/workshop viewer, while in or upon the premises under control and supervision of Westland Dance Co., its organization, or en route to or from any of said premises.I give permission to Westland Dance Co. to seek medical treatment for /workshop viewer. I understand that I am required to provide information regarding any relevant illnesses, restrictions, or conditions, either physical or mental to Westland Dance co. By By typing my FIRST AND LAST NAME below, I am giving permission for this to be used as my electronic signature agreeing to the above stated. *
Your answer
PHOTO RELEASE: I, the undersigned, also give permission for Westland Dance Co to use video footage and / or photographs of myself/child/participant/workshop viewer. This usage may include (but is not exclusive to) displaying publicly, distributing, or publishing, photographs, and/or video of myself/child/participant/workshop viewer for use in materials that include, but may not be limited to: - printed materials (eg - brochures and newsletters) - online and offline advertising and promotion - videos and digital images such for use on Social Media. By signing this form below, I acknowledge that I am giving unrestricted permission for my/child's/participant's image to be used in print, video, and digital media. I agree that these images may be used by Westland Dance Co. for a variety of purposes and that these images may be used without further notification. I do understand that any identifying information including surname and location will not be used in conjunction with any video or digital images. By typing my FIRST AND LAST NAME below, I am giving permission for this to be used as my electronic signature agreeing to the above stated. *
Your answer
Form of payment: *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy