June 2023 Summer Camp Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Register below for all June 2023 Summer Camps! All camps will take place at Bettie Jane's Center of Dance Art: 6408 Mount Phillip Rd. Frederick, MD 21703. Please note: if we don't reach the minimum number of students needed, that particular camp will be cancelled and your money will be refunded. Thank you!

Email *

Dancer's Name *

What age is the participating dancer? *

2-6

7-12

13+

Required

Which camps are you signing up for? *

Teddy Bear & Me | 9:30-12:00

Hip-hop | 3:00-4:30

Tap | 5:00-6:15

Jazz | 6:30-8:30

Required

Any food allergies or dietary restrictions? *

This mainly pertains to the 4-6 camps where snack is provided, but feel free to answer if you feel it's important for us to know!

Were you referred by a friend to register? *

Part of our summer camps may be filmed for social media/marketing purposes. Please let us know below whether or not you prefer to appear on camera or not. *

I consent for my image/my child's image to appear on-camera, and understand it may be used for social media and/or marketing purposes.

I do not consent for my image/my child's image to appear on-camera, and prefer them not to be featured for social media/marketing purposes.

Method of Payment *

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms