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Whether you desire to pursue the art of dance as a professional career or as a hobby, we will take you there!
Dansez!Dansez!
A Multicultural Dance Studio
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CampRegistrationForm2016
Camp Registration
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 *
Date
Winter Mini Camp
Enter Single Day Date (s)
SELECT RATE
*
Weekly Rate $365
Full Day $80
Half Day $55
One Hour $29
Full MINI Holiday Camp $450
STUDENT 1
Last Name
*
First Name
*
Sex
*
F
M
Date of Birth (DOB)
*
Age
*
Allergies/ Condition
STUDENT 2
Last Name
First Name
Sex
F
M
Date of Birth (DOB)
Age
Allergies / Condition
MAIN CONTACT
Parent / Guardian Name(s)
*
Email
*
Home Phone
*
Mobile phone
Address
*
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
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Gambia, The
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EMERGENCY CONTACT
EMERGENCY CONTACT NAME (other than parent or adult participant)
Emergency Phone
AUTHORIZATION & RELEASE *: Please acknowledge by checking each box below
*
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
ONLINE PAYMENT COMING SOON. Until then, please MAKE CHECK PAYABLE TO " DANSEZ!DANSEZ! "
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NEWS & EVENTS
PARTY HALL FOR RENT YEAR-ROUND
Dance Supplies and Costumes Boutique
Dance Classes through Montgomery County Recreation Park
Special Links
City of Rockville Recreation Center: Dansez Dansez Classes schedule
DansezDansez on Facebook
Montgomery County Recreation Center Dansez Dansez Class schedule
Sabine L. Philippe Real Estate Brokerage
Sabine Philippe Financial Group
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