1. Participant Polices and Procedures & Application
Dance Time, INC
Participant Polices and Procedures & Application
Participants Name _________________________ Age ____________
Address ____________________________________________________________
City ______________________ State _______ Zip ___________
Home Number ___________________ Fax Number ________________
Parent _________________________ Work Number ______________
Parent _________________________ Work Number ______________
_____________________________________________________________
School Name ________________________ City ______________ State ________
How did you hear about us? ___ flyer ___ Internet ___ friend ___ brochure
T-Shirt size: Youth S M L or Adult S M L
Medications _________________________________________________________
Please Review the following Polices and Procedures and sign below.
Must wear tennis/dance shoes at all times
Must be signed in at registration and out at dismissal by a parent
Please label all personal items with your child’s first and last name
All participants must be picked up no later than 15 minutes after dismissal by the person/persons designated on the insurance waiver.
All participants are required to be team players, disrespectful behavior, bullying, fighting, or teasing will not be tolerated.
I agree to adhere to the above mentioned policies and procedures.
Participant Name_____________________
__________________ ___________
Parent Signature Date
Payments:
Please check the following payment option that applies. We accept Certified Checks and Money Orders only
Mail to: 170 Cinnamon Oak Circle
Covington, GA 30016
Dance Experience
____ Jazz _____ Hip Hop
____ Ballet _____ Lyrical
____ African _____ Other
Have you received any previous dance training? If so, where? _________________________________________________________________________________________________________
*Please be advised that although instructors are contracted to teach at this camp, in the event that an instructor has an emergency and can’t make it, a replacement will be provided.*