3005 Skyline Blvd. Reno NV 89509

775 - 825 3687

Dancindancin                     

775 - 825 3687

There are TWO Fun and exciting CAMPS this summer in July at Dancin!.
IRISH DANCE & MUSIC CAMP: July 16th - 20th, 2018. Cost: $199. (Scroll Down for more information and Camp Registration Form)
PROJECT IMAGINATION: July 23rd - 27th, 2018. Cost $199. (Also scroll down for more info & reg' form)
Please don't hesitate to contact our Director, Amanda Coulson  at:  [email protected]
 with any questions you may have.

    REGISTRATION  FORM  for  DAY CAMPS  2018

 

CAMP NAME:……………………........................DAY/s:………………..................TIMEs:…………............……                

  

Name: _____________________________________________________________________________ Age: __________________ D.O.B:________________________________

Address: ______________________________________________________________City: ____________________________ Zip: ________________________

Parent or Guardian Names: ________________________________________________________________________________________

Email: __________________________________________________________________ Tel: ___________________________________________ Cell: ________________________________________

 

Student’s Previous Training and Performing Experience: _____________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________

 

Please print out, complete & mail /or bring this registration form and check payment for each Camp or partial Camp to: Dancin!  3005 Skyline Blvd. Ste 150 Reno NV. 89509.                                                                             You may also pay by phone: 775/825 3687 and use Visa/MC/DISC/AMEX. Credit Card. (Add 3%)            Camp registrants will be notified upon receipt of Camp Registration. Dancin! reserves the right to cancel a camp if necessary.

 

Insurance and Medical Releases and Non-Disclosure Agreement

Insurance Release:

 Dancin! Performing Arts Center; their Directors, Staff, Members, Volunteers, Instructors, or the families thereof, cannot and will not be held liable for any injury sustained on any property, stage, studio area, performance area or rehearsal area, that this dancer/student/member attends.  I understand fully that either the student/member his or herself and/or their legal guardians whose signature and name appears below, is fully responsible for all medical and dental responsibilities, bills and insurances and will not attempt to hold Dancin! Performing Arts Center and its employees, contractors and volunteers liable.

 

 

Medical Release:

I give full permission for Directors, Staff and/or Volunteers of Dancin! Performing Arts Center, the right to choose and decide upon medical attention for participant should the need arise when the parent and or legal guardian and/or emergency contact cannot be immediately notified.

 

 

Non-Disclosure Agreement:

Students & their families agree not to disclose or reproduce any information regarding studio operations, choreography, staging, music, costumes and designs.  These are the intellectual properties of Dancin! PAC, and Amanda Coulson.

 

I have read, understand, and accept the above Insurance and Medical Releases and the Non-Disclosure Agreement:

 

 __________________________________________            ___________________________________________                    ______________________________                                     _________________________________

Signature                                               Print                                                Relation                                                         Date

 

 

 

PLEASE ADD A WRITTEN NOTE AND SPEAK WITH DIRECTOR FOR ANY SPECIAL DETAILS…

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

PAYMENT INFO: