2018 Strutter Kick Start Camp Registration Form
Strutter Kick Start Camp is July 30-August 2, 2018 8:00 AM- 1:00 PM
Email address *
Dancer's First Name *
Your answer
Dancer's Last Name *
Your answer
Dancer's Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Parent/Guardian's Name: *
First & Last Name
Your answer
Cell Phone: *
Your answer
Emergency Contact #1 *
First & Last Name, Phone #
Your answer
Emergency Contact #2 *
First & Last Name, Phone #
Your answer
Dancer's Age: *
Current age
Your answer
Dancer's Grade: *
Grade for the 2018-2019 School Year
Does your child have a medical condition of which we should be aware? *
If your answer is yes, please describe the condition.
Your answer
What size t-shirt does your dancer wear? *
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