DansezDansez Camp Registration

Complete the form online or CampRegistrationForm2016

SELECT CAMP DATES *
You may enroll for 1 hour, 1/2 day, 1 day, multiple non-consecutive or consecutive days, 1 week, multiple weeks or the entire summer *DateWinter Mini Camp
Enter Single Day Date (s)
SELECT RATE *

Parent / Guardian Name(s) *
Email *
Home Phone *
Mobile phone
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

*
Participant or parent/guardian assumes all risks associated with this activity and relieves Dansez Dansez and its representatives of all claims for injuries or loss of any person or property which may result from participating in this program
*
Participant or parent/guardian grants permission for a doctor or emergency personnel to treat participant if needed.
Participant or parent/ guardian consents to Dansez Dansez' use of photographs or videotapes made of the program that include participant for Dansez Dansez promotional purposes
Signature *type in full name
Date