STLRC Summer 2023 Camp & Class Registration
Thank you for your interest in our summer camps!

To register for our camp, "Hit Movie Moves," with Lindbergh Education & Recreation, click here:  

For our other STLRC summer programs, please complete the form below. 


Sign in to Google to save your progress. Learn more
Student Name *
Student Age *
Parent/Guardian Name (if under age 18):
Mailing Address: *
Student Phone (Parent phone if student is under 18): *
Student Email Address (Parent email if student is under 18): *
Choose Your Camps Below:
FOR CAMP STUDENTS:  Please choose your desired level.  Students will be evaluated on the first day to ensure proper level placement. Feel free to email us with questions:  info@stlrhythmcollaborative.org
Clear selection
Choose Your Classes Below:
PLEASE NOTE:  There will be no class on Tuesday, July 25, 2023.
Would you like to join our mailing list? *
Participation Waiver
By submitting this form:

1.  I hereby agree to indemnify and hold harmless STL Rhythm Collaborative (STLRC) and its faculty/staff from and against any and all claims for personal injuries or damages of any kind arising from participation in the STLRC program. Furthermore, I authorize STLRC staff and faculty to seek emergency medical help for me and/or my child if this becomes necessary. I agree to indemnify and hold harmless STLRC personnel in seeking medical care for me and/or my child. I realize that every effort will be made by STLRC staff to contact me in the event of a medical emergency involving me/my child.

2.  I give permission for my/my child's image/likeness to be used by STLRC for promotional purposes.

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Maria Majors. Report Abuse
Google Forms