Registration Form for Summer Camp/Intensive 2010

Registration Form for Royale Ballet Dance Academy Summer Camp/Intensive

Name
Age:
Date of Birth:
Names of Parents:
Email (Required):
Address:
Street Address

Address Line 2

City:

State:

Zip Code:
Cell Phone:
Home Phone:
Emergency Contact:
Phone:
Choose Your Camp or Intensive. Summer Camp 1 (2 Weeks) Summer Camp 2 (2 Weeks) Intensive Ballet 1 (2 Weeks) Intensive Ballet 2 (2 Weeks) Advanced Students PTO ($350)