Summer Camp

Parent's Information

Mother's Name *

First

Last

Father's Name

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone Number *

Secondary Phone Number

Primary Contract email *

Student Information

Student's Name *

First

Last

Birthday *

Please one class per session

Location *

Session 1 (June 27-June 30th)

5:00p-6:00p En-Chanto Camp (ages 3-5)
6:00p-7:00p Hip-Hop/Power Tumbling (ages 6-8)
7:00p-8:00p Just Dance-TikTok Camp (ages 8+)
Solo, Duet, Trio Classes (ask about pricing)

Session 2 (July 18-July 21)

5:00p-6:00p En-Chanto Camp (ages 3-5)
6:00p-7:00p Hip-Hop/Power Tumbling (ages 6-8)
7:00p-8:00p Just Dance-TikTok Camp (ages 8+)
Solo, Duet, Trio Classes (ask about pricing)

Total

$ 0.00

$40.00 for one session OR $70.00 for 2 classes. If you have signed you child up for 2 class, deduct $10 from the total.

Photo Release For Website

As Parent/Guardian, I give Paulette’s Dance & Tumbling permission to photograph my child during special performances and activities and use photos for brochures, post on Facebook, and to use on the website. I have received, read, and understand the information and agree to my dancer’s photo be released on the website, Facebook, brochures, or any promotional materials.

I am agreeing to allow photos to be used on Paulette's Dance & Tumbling website. Please contact Paulette if you have questions. *

Yes
No

Phone

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