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Summer Camp Registration

 
Name of Coach/Advisor:
Address:
City:
State: 
Zip:
Home Phone:
Work Phone:
Cell Phone:
E-mail Address:
   
Name of School/Organ:
Address:
City:
State:
Zip:
School/Organ Phone:
School/Organ Fax:
Approx # of Students Attending:
 
Choose one of the following: (For Pricing, see the Brochure)

Option 1 Two Day Camp
Option 2 Three Day Camp
Option 3 Three Day Super Session
Option 4 One Day Express Camp
Option 5 Three Day Choreography
 
Tentative Selection of Dates: (example: week of June 13, 2011)
1st Choice:
2nd Choice: