CLOUD NINE SUMMER 2017 PROGRAMS

Camps:

Fairy Princess Camp (ages 3-7)

June 26, 28, 30 from 5:00-6:30

A-Z Dance Camp (ages 5-12)

June 26, 28, 30 from 6:30-8:00

Pirates, Mermaids, and Superheroes(ages 3-7)

July 10, 12, 14 from 5:00-6:30

Drama Club Kids Camp (ages 5-12)

July 10, 12, 14 from 6:30-8:00

Each camp is $75

Drop in classes:

Join our 5 week session of evening classes for all ages on Tuesdays and Thursdays June 26th through July 29th. This is a great way to try new classes, introduce dance to a youngster, or keep up your learning throughout the summer. Drop in cards are offered for 5 or 10 classes and dancers may drop into any class they like! This allows for lots of flexibility, and sibling card sharing. Dance with us this summer!

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REGISTRATION FORM

Student Name:______D.O.B.______

Dance Camp Name:______

[ ] 5 punch drop in card $45 X quantity______=______

[ ] 10 punch drop in card $80 X quantity______=______

Parent Name:______Cell Phone:______

Home address:______

______Home Phone:______

Email Address:______

[ ] Allergies/Medical Conditions:______

Payment Options:

[ ]Cash in total amount of______[ ]Check#______in the amount of______

[ ] Charge the total amount of______[ ]Visa [ ]Mastercard

/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/ Exp______Sec code______

Summer fees are due upon registration, are only transferable to other summer programs and are non-refundable. I understand there is a certain amount of risk involved in movement programs and I will not hold Cloud Nine Dance responsible for injury due to typical movement activities. I am aware that photos (without child last names) will be use on Cloud Nine Dance media pages.

Parent signature:______

Please return completed form to 4141 Tallmadge Rd. Rootstown, OH 44272