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Summer Camp Registration Form:















If you are unavailable in an emergency we can call:

Name:



Mini-Camp Recreational Camp Competitive Camp 4th Dance Session
Evenings June 22 –
August 17
July 4th – 8th July 18th – 22 – Full Days August 22 – 26th Full Days Advance Jazz 7:00-8:30
half day August 8th -12th Full Days   Advance Tap 8:30-9:30
full day     Junior / Inter. Jazz / Tap 5:00-7:00
      Minis Jazz / Tap 5:00-7:00
August 2nd -5th      
half day      
full day      
       
       

Parental Release: Know all persons by these present that I / We
the undersigned, do hereby release and forever discharge ConfiDance Studio, its servants, employees, agents or invites of and from any and all claims, demands, risks or invitees of and from any and all claims, demands, risks or clauses or action of whatsoever kind or nature, arising from, or by reason of any and all known or unknown, foreseen or unforeseen, bodily or personal injury that may be sustained by myself / ourselves, my child / children or anyone in my / our care, while engaged or participating in the dance instruction / program conducted by ConfiDance Studio at the business premises known municipally as 625 Wabanaki Drive in the City of Kitchener. IN WITNESS WHEREOF I / We have hereunto set my /our hands(s) and seal(s) this day of , 20
I promise to pay any fees owing on or before the due date. 2% per month interest will be paid on balance of overdue accounts. I also, give permission for images of my children to appear on the ConfiDance Studio website.
***Type your name here and sign when you bring in the printed form




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