December Holiday Dance Camp
Contact Information
Dancer's Name *
Dancer's DOB *
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Sibling's Name
Siblings' DOB *
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Please provide all pertinent information regarding the dancer including any special or medical needs.
Parent/Guardian's Name *
Parent/Guardian's Email *
Parent/Guardian's Cellphone Number *
Address *
Additional Emergency Contact other than Parent/Guardian *
Programme Sign Up Information
Please take note that lunch and snacks are not provided or included in the costing.
Week Sign Up *
Terms, Conditions & Liability Disclaimer
Terms & Conditions
The Camp requires a minimum of 5 children signed up per week.

Parent or Guardian must read & agree to the below

The balance of the fee amount to be paid on the day of or before the first dance class. We reserve the right to
refuse entrance to anyone (student or guardians) due to safety concerns or inappropriate behaviour. Student
and/or Guardian is responsible for replacing broken items at the current replacement cost of said item.

BY CHECKING BELOW, PARENT/GUARDIAN OR STUDENT (AGE 18) ASSUMES FULL FINANCIAL RESPONSIBILITY FOR ALL FEES.

NO REFUNDS AVAILABLE.
Liability Disclaimer
I for myself and/or my minor child release and forever discharge and agree to hold harmless The Kids Holiday Dance Programme and Five6seven8 Dance Studio Teachers, Choreographers and Organisers for any liability, claims or demands for personal injuries, sickness, or death, as well as for expenses due to loss or damage to personal property or lost wages. Since dance is a physical activity, injuries may occur. Each student has the right to decline participation in any activity, which they are not comfortable with, or which they feel may be harmful. Each student is fully responsible for any injuries or harm occurring before, during or after a class at The Kids Holiday Dance Programme. Student/Parent/Gaurdian is also responsible for informing instructor(s) of any physical limitation, which may prevent full participation in class. The Kids Holiday Dance Programme and Five6seven8 Dance Studio will not be responsible for the administration of medicine i.e.: asthma pumps. Parent/Guardian or Student Age 18+ must sign below in agreement with all terms of liability disclaimer & workshop policies.
Sign Up Confirmation *
Required
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