CDA Summer Camp Registration
Welcome to Summer Camp 2023! Mix it up with CANVAS Dance Arts in true artist fashion!  Expand your passion for dance beyond the studio and make new friends while creating art projects and dance phrases throughout the week. Ms Simone and Miss Angela look forward to hosting week-long camps with an emphasis on dancers’ creations, fitness and conditioning, and site specific choreography. Memories from camp will be treasured in our final performance video.

Complete this registration form to enroll in Summer Dance Camp with CANVAS Dance Arts.

Location: Temple UMC at 65 Beverly Street/19th Avenue
Hours: 9:00 am to 3:00 pm, Monday - Friday
Contact us at, website: phone: (415) 364-8687
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Email *
Parent Last Name *
Parent First Name *
Phone Number *
Dancer's Last Name *
Dancers First Name *
Dancer's Age (at the time of camp). Let us know if they'll be celebrating a birthday during camp!   *
Child's development, allergies, learning habits, or injuries (please tell us any information that would help us understand and support your child better) *
Child's school & grade in the 2023 - 2024 school year
Please check the week(s) below in which your dancer is enrolling: *
CANVAS Dance Arts camp hours & rates:
Camp Hours: 9:00 am to 3:00 pm
Camp Fee: $560 per week per dancer 
Discount for enrolling in 2 or more weeks before June 11: $25 off per week
Sibling discount if enrolling in the same week: 5% off
Please check your enrollment option for classes
Payment Method (CDA will send a confirmation email with balance due and payment link or waitlist status within 48 hours) *
I understand that payment is needed to finalize my registration. (refer to confirmation email for payment links)
Liability Waiver and Photo Release
LIABILITY WAIVER: I hereby waive all claims for injury or loss to person or property during participation in classes, workshops or other activities. My participation or my child's participation in this class/workshop is voluntary and at my own risk. To the best of my knowledge, the health information provided is accurate and I acknowledge and fully understand that I or my child will be engaging in activities that involve risk of injury including, but not limited to, pulls or tears (muscles, ligaments or tendons), muscle strains, wrist or foot injuries. I hereby certify that I am or my child is in good health and do not suffer from any heart condition or other ailment that could be exacerbated by the exertion involved in the activities participated in. I agree that I, or my child, will comply with all instructions given to me by the instructor(s) or assigns. I hereby release respective owners, instructors, and assigns from any liability claims, demands, injuries, actions, or causes of actions to my person, my child, or my property arising out of or connected with the use of any of the services, equipment, or facilities provided. I also agree to indemnify the said owners, instructors, agents, and assigns for any claims which are advanced by me or on my behalf, or as a result of any injury to me whatsoever. Further, I confirm that I, or my child, either have specific insurance to cover any injuries sustained, or that I, or my child, have chosen to participate in these activities without any insurance coverage and agree to assume full responsibility of any and all risks, known and unknown, bodily injury, death and property damage which may arise from participation in accepted classes. By signing this form, I agree that I have been informed that I should not participate in any activity if I have any doubt or if I am uncertain as to my current medical condition or my child's current medical condition.  I have carefully read with a full, definite and clear understanding the foregoing provisions and freely enter into the within agreement of the Waiver and Indemnification Form. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights.
PHOTO RELEASE: We at CANVAS Dance Arts love to take photos of students for use on our websites, printouts, social media accounts, and posters. We will be taking photos of students during classes, and you or your child may be in one or more of these photos. Please email if you DO NOT want your child's image to be shared.
RISK ACKNOWLEDGEMENT REGARDING COVID-19: The collective effort and sacrifice of San Francisco residents staying at home limited the spread of COVID-19. But community transmission of COVID-19 within San Francisco continues, including transmission by individuals who are infected and contagious, but have no symptoms. Infected persons are contagious 48 hours before developing symptoms (“pre-symptomatic”), and many are contagious without ever developing symptoms (“asymptomatic”). Pre-symptomatic and asymptomatic people are likely unaware that they have COVID-19. The availability of childcare, summer camp, Out of School Time (OST) programs, and TK-12 schools is an important step in the resumption of activities. However, the decision by the Health Officer to allow childcare, summer camp, OST programs, and TK-12 schools at facilities that follow required safety rules, does not mean that attending childcare, summer camp, OST programs, and/or TK-12 schools is free of risk. Enrolling a child in childcare, summer camp, OST programs, and/or TK-12 schools could increase the risk of the child becoming infected with COVID-19. While the majority of children that become infected do well, there is still much more to learn about coronavirus in children, including from recent reports of Multisystem Inflammatory Syndrome in Children (MIS-C). Each parent or guardian must determine for themselves if they are willing to take the risk of enrolling their child in childcare, summer camp, OST programs, and TK- 12 schools, including whether they need to take additional precautions to protect the health of their child and others in the household. They should particularly consider the risks to household members who have a higher risk of severe COVID- 19 illness. Parents and guardians may want to discuss these risks and their concerns with their pediatrician or other health care provider. More information about COVID-19 and MIS-C, is available on the Centers for Disease Control and Prevention website at See for a list of groups at higher risk for severe COVID-19 I understand the risks associated with enrolling my child in childcare, summer camp, OST programs, and/or TK-12 schools, and agree to assume the risks to my child and my household. I also agree to follow all safety requirements that the childcare, summer camp, OST programs, and/or TK-12 schools imposes as a condition of enrolling my child.

I have read the waiver, photo release, and risk acknowledgement. *
Refund, Credit, Makeup Classes
Student enrollment is complete after payment is received. In case of cancellation, CDA will provide partial refunds at the following terms. Please allow 5 to 10 days for refunds.
DANCEmix Summer Camp fee is refundable with 4 weeks notice, less $75. With fewer than 4 weeks notice, the camp fee is refundable, less $150.

With at least 3 weeks notice, CDA public sessions are refundable, less $50. With fewer than 3 weeks notice, the session fee is refundable, less $85.

With at least 3 weeks notice, CDA private group sessions are refundable, less $75. With fewer than 3 weeks notice, the session fee is refundable, less $150.

Credit for classes or 95% refunds will be determined on a case by case basis.

CDA encourages students to attend the entirety of a session. Drop-in classes are accepted for Basics & Beginning Level classes. Level I, II, and III classes will accept Drop-in classes if there is less than 50% enrollment.

Prorated registration is for new students who join classes mid-session (offered when classes are still accepting new students).
How did you hear about CANVAS Dance Arts?
Thank you!
Ms Simone and Miss Angela
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