Additional Emergency Contact for June 4-7. Name/Relation/Phone *
Your answer
Please list any food or other allergies or write NONE. *
Your answer
Please list any special needs or concerns or write NONE. *
Your answer
My child's photo may be shared on Strutter social media and/or news publications. *
I give my dancer permission to participate in Strutter Kick Start Camp, knowing that it is a physical activity where injury may occur. I grant permission to the school and/or its employees and Strutter Booster Club representatives to take whatever action is deemed necessary. I hold CSISD harmless in the event of an injury. *
How did you hear about Kick Start Camp? (select all that apply) *
Required
If you are using a certificate from an auction, enter the festival/event where it was purchased below. If you are NOT using a certificate, skip this question, submit form, and proceed to payment.
Your answer
A copy of your responses will be emailed to the address you provided.