Summer Camp 2020 Dancer's Name*Parent/Guardian's Name* First Last Home PhoneCell Phone*Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Dancer's Birthday* Date Format: MM slash DD slash YYYY Dancer's AgeSessionJune 22nd - 26th, 10am - 1pmJuly 20th - 24th, 1pm - 4pmShirt Size (Youth)*SmallMediumLargeMonthly FeeRELEASE WAIVER AND ASSUMPTION OF RISK* I attest that my child is physically fit for the activity of dance, and is in good general health. I release Cristina Duncan from any and all liability related to dance class. PHOTO RELEASE* I give permission for my child to have their photo taken during ballet class. Photos will be used for promoting and advertising for future classes on facebook and, or other social media. Total $0.00 This iframe contains the logic required to handle Ajax powered Gravity Forms.