Summer Camp

Parent/Guardian *

First

Last

Medical Conditions/Allergies? *

Summer Camp Options *

July 24th-27th Princess Song and Dance Ages 4-8yrs. 9-12am We will be learning ballet and jazz routines along with some musical theatre to your favourite princess music. Cost: $125 July 24th - 27th Hip Hop Camp 12-3pm Ages 4-7yrs. Come learn beginner hip hop dancing! Cost: $125 July 31 - Aug 3rd Contemporary & Jazz Camp. Ages 8-12yrs. 9-12pm. Open level. Good for first time dancers and those who have danced before. Cost: $125 July 31 - Aug 3rd Hip Hop and Latin Dance Camp Ages 8-12yrs. 12:15-3:15pm Great for first time dancers to those with dance experience. Cost: $125 Aug 14th - 17th Princess Song and Dance Ages 4-8yrs. 9-12am We will be learning ballet and jazz routines along with some musical theatre to your favourite princess music. Cost: $125 Aug 14th - 17th Dance Sampler. 12:15-3:15pm Want to try dance but not sure what style you would like? We will try jazz, contemporary, hip hop, latin dance, ballet and musical theatre. Ages 5-10yrs. Cost: $125

Payment (due upon registration) *

Online Credit Card E-transfer

There are no refunds once fully registered in the program. *

Yes

I understand that if the dancer is not feeling well that they must miss their dance class until once feeling better. * *

Yes

I hereby release and forever discharge Sara Raymond Dance Academy, its Directors, Employees, or Volunteers and its or their successors, of and from any claim, demand, damage, which may include a failure to properly safeguard against any dangers and hazards pertaining to the event, including, without limitation, the negligence of the agents, employees and instructors working with/for Sara Raymond Dance Academy. * *

Yes

I hereby authorize the owner of Sara Raymond Dance Academy, the employees, volunteers, and subcontractors to medically assist your child. * *

Yes

I certify that I am the legal guardian of the minor child that I have registered, or that I am the age of majority. I have read the terms and conditions and am bound to them. * *

Yes

We the guarantor, if applicable, on behalf of ourselves, members of our family, hereby forever release, discharge and hold harmless members of Sara Raymond Dance for any injury arising out or in connection to taking dance class. * *

Yes

Summer Camps 2023

Registration Form Summer Camp

204- 6750 N Island Hwy in North Nanaimo