Carberry Summer Dance Camp
Registration form for Carberry Summer Dance Camp 2020 with Taylor Orchard
Which Age Category does the student belong to? *
Student Name *
Parent Name *
Cell Phone Number *
Email Address *
Mailing Address
Please note! Cancellations must be made one week prior to start date. The Carberry Plains Arts Council will not give refunds after camp has begun. The Carberry Plains Arts Council is not responsible for replacing any lost, stolen, or damaged personal items during dance camp *
How will you be making your $135 payment? Payment can be mailed to Box 130, Carberry MB R0K 0H0 or dropped off in person at 122 Main street, Carberry
Medical Consent: I give the certified staff, volunteers, and class instructors of the Carberry Plains Arts Council permission to administer First Aid/CPR to the student named in this form in the case of medical emergency
Photo Consent: The Carberry Plains Arts council would like your permission to use images/photos that may include yourself and/or your child on our website, social media page, newspaper, local media, flyers or print materials for marketing purposes and local talent recognition.
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