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AMB Dance Summer Camp Form
Parent First name
*
Parent Last name
*
Email
*
Phone
*
Multi-line address
Country/Region
*
Address
*
City
*
Zip / Postal code
*
First and Last Name of Camper
*
Age of Camper (must be between 7 and 13)
*
Camper’s Birthdate (Month/Date/Year)
*
LIST ALL ALLERGIES. IF NONE TYPE N/A
*
Camper Shirt Size
*
SMALL CHILD
MEDIUM CHILD
LARGE CHILD
EXTRA LARGE CHILD
ADULT SMALL
ADULT MEDIUM
ADULT LARGE
ADULT EXTRA LARGE
Dismissal is 3pm. Please list THREE individuals that are allowed to pick up your child. Any individual not listed below must be pre approved.
*
Will your child need after care? Type YES or NO. After care is 3pm - 6pm $10 per hour.
*
This program runs from June 29th - August 9th. A deposit of $100 is needed to hold your child’s placement in the camp. (Nonrefundable) After the completion of this form you will receive an email from AMB Staff with further details. Do you understand?
*
Fixed price
$100
Submit
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