Jody's School of Dancing - Summer Registration
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Please fill out the form below and return by June 25, 2008

Check all programs you are registering for:

 1 Week Mini Camp For ages 2½ -8. July 7th – 11th $100

One-Day Theme Camps

 Camp #1 “Ballerina Princess Camp” July 21st $20

 Camp #2 “Pop Star Camp” July 22nd $20

 Camp #3 “Beach Party Camp” July 23rd $20

 Camp #4 “Hip Hop Boot Camp” July 24th $20

 Camp #5 “Pajama Party Camp” July 25th $20

Total Due $_______

Name:____________________________________________________

Address:__________________________________________________

Home Phone:___________________Cell Phone:_____________________

Emergency Contact:__________________________________________

E-mail:____________________________________________________

Liability Disclaimer: Jody’s School of Dancing and its teachers are not liable for any personal injury, loss or damage to personal property. Please inform your instructor of any physical limitations you may have. Students should decline to participate in any activity which could be harmful.

Picture/video release: I hereby give permission for images of my child, captured during regular classes, rehearsals, performances and special activities through video & photo, to be used solely for the purposes of promotional material, newsletters, websites, and publications and waive any rights of compensation or ownership thereto.

Signature of Parent or Guardian: _________________________________________________