Online Dance Camp Registration

Child's Full Name: Age:

Sex: FemaleMale Email Address:

Address:

City: Zip:

Home Telephone: Grade: --K12345

School:

Desired Camp Date: - FALL, 2007 TBA

Randolph-Macon College, or the Dance Team, will not be held responsible for any injuries or lost or stolen items during the camp.

Individual Child ($35) Multiple Children ($30 per)

If you have multiple children attending camp, please specify how many here.

Additional dancers will be registered at the door during registration from 11:30am till noon.

A written signature from a parent/guardian must be obtained at the registration table in order for children to attend the camp.

Best telephone number to reach you during hours of camp:

Email is not the most secure method of communication. If you feel at all uncomfortable with submitting information, please contact Randolph-Macon College directly.