Registration
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Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
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Type
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Aunt
Caregiver
Father
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Mother
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Home Phone:
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Email:
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Zip:
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Emergency Contact Info (Not Contact #1 or #2)
Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
They/Them
Birth Date:
*
(format=mm/dd/yyyy)
:
Allergies (Leave blank if NONE):
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
They/Them
Birth Date:
*
(format=mm/dd/yyyy)
:
Allergies (Leave blank if NONE):
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
They/Them
Birth Date:
*
(format=mm/dd/yyyy)
:
Allergies (Leave blank if NONE):
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
They/Them
Birth Date:
*
(format=mm/dd/yyyy)
:
Allergies (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
They/Them
Birth Date:
*
(format=mm/dd/yyyy)
:
Allergies (Leave blank if NONE):
Questions/Options:
Yes
No
Additional Information:
Assumption of Risk
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I understand that dance classes may include, without limitation, dancing with props, stretching, barre work, across the floor combinations, dance routines in the center, and other related activities. I further understand that all of the activities of the dance class involve some degree of risk of strain or bodily injury.
I've read the above and agree.
Release of Liability
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As the legal parent or guardian, I release and hold harmless Monarch School of Dance, LLC, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or in route to or from any of said premises.
I've read the above and agree.
Registration & Tuition Fees
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Advanced registration is required for all camps. All camps are held Monday-Thursday in the Collingswood location. Camp fees are $65 and can not be prorated for daily rates. No refunds unless camps are cancelled by Monarch. Camps may be combined or cancelled due to low enrollment at Monarch's discretion.
I've read the above and agree.
Photo Release & Agreement
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I give permission for Monarch School of Dance to take photos of me or my child while participating in Monarch School of Dance activities, classes, rehearsals and performances for promotional purposes. Names of students will not be used or disclosed. I understand that I am giving permission to use these photos and/or videos for publishing use, in printed or electronic format.
I've read the above and agree.
Complete Your Registration
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Once you choose 'Submit' your camp registration payment(s) will be processed. This will reserve your dancer's camp spot(s). A welcome email with additional camp information will be sent a few days before the start of camp.
I've read the above and agree.
Enter your Full Name:
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Other Questions/Comments:
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Exp Year:
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Zip:
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