dancED Summer Programs Registration Form
Listed below are all of the details required to register your child for our summer programs. If you plan to register more than one child, please complete separate forms for each individual participant. If you have any questions please contact us at info@danced-mp.com. Thanks!
Email address *
Participant's full name (first and last): *
Your answer
Participant's birthdate *
MM
/
DD
/
YYYY
Parent/Guardian name(s) + phone number(s) *
Your answer
Which program(s) will the participant be registering for? Please indicate below: *
Required
Which school does the participant attend, and how did you hear about our summer programming?
Your answer
Does the participant have any allergies? *
Required
Please list any allergies:
Your answer
Dietary restrictions? *
Will the Participant be taking any medication during camp hours? *
Does the Participant have any further conditions the dancED staff should be aware of? This includes diagnosed and un-diagnosed conditions related to: *
Yes
No
physical condition
medical condition
behavioural condition
neurological disorders
emotional state
mental health
sensory disorders
processing disorders
learning disabilities
Does the Participant receive any additional support at school (eg. hearing assistance, 1-on-1 support, etc)? *
The more detailed information that is provided, the better able we are to support each participant and ensure a successful and positive experience.
Please list all individuals (include first name, last name and phone number), who have permission to pick up the participant at the end of the day: *
Your answer
Please list 2 emergency contacts (please include first name, last name, phone number, and relation to participant): *
Your answer
I have read through and agree with dancED's Summer Program Policies and Guidelines (Link here): *
Is there any additional information you would like to add?
Your answer
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