Camp Registration

CAMP REGISTRATION

1: Register

Participant Information

First and Last Name

MaleFemale

Address

City

Postal Code

Age (7-12)

Allergies, medical conditions, special needs


Parent Information

First and Last Name

Relationship

Home Phone #

Emergency Phone #

E-mail

Please include your email address so we can email the camp schedule to you 2 weeks prior to camp start date.

Registration

Available Classes:


Cancellation Policy: You may cancel a summer camp registration before June 1st, 2017 and obtain a full refund minus a $15 administration fee/week. After that date there is NO refund.


Liability Waiver and Acknowledgment of Risk: I agree and understand that in participating in any dance class, summer camp, or performance, there is a possibility of physical injury. I voluntarily agree, on behalf of my child, to assume all risks and responsibility for any such injury or accident, which might occur to my child during any of the Luv2Groove classes, summer camps, performances, or activities. I also exempt, release, and indemnify Luv2Groove, its owners, volunteers, assistants, and guest artists from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to my child or property, which may arise out of or in connection with participation in any classes or activities conducted by Luv2Groove.

Release of Student Photographs and Videos: I grant permission to Luv2Groove to use photographs and videos of my child for publicity and media purposes only.

Signature

Date

How did you hear about the camp? (Optional)

My child participated in a Luv2Groove unit at school.

Source:

I found out about the class from someone I know.

Source:

I found out about the class through social media.

Source:

My child attended Luv2Groove weekly classes.
My child attended a Luv2Groove summer camp in the past.


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