MDM New Student Summer Camp Interest Form

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Are you a new student and need help or direction getting registered for some of our fun summer camps? We are happy to help! Please take a minute to complete this form and a member of our office staff will be in touch with you soon!

Email *

Parent / Guardian Name *

Dancer Name *

Dancer Date of Birth *

YYYY

Dancer Age as of June 1, 2021 *

Male/Female

Male

Female

Prefer not to say

Parent Email Address *

Parent Cell for Text Message Reminders

How much dance experience does your dancer have?

None

0 - 1 year

2 - 3 years

4 - 5 years

More than 5 years

Clear selection

Which of the following camps are you most interested in? Please mark all that apply. *

Student Choreography Workshop (Ages 11 - 18+)

Around the World (Ages 3 - 14)

Fancy Dancy Tea Party (Ages 3 - 6) - June Session

Fancy Dancy Tea Party (Ages 3 - 6) - July Session

Let's Hear it for the Boys (Ages 5 - 12) - June Session

Let's Hear if for the Boys (Ages 5 - 12) - July Session

Magical Dance Adventure (Ages 3 - 6)

DJ's Pick: Chart Toppers (Ages 6 - 12)

Mechanix 2021: Dance Olympics (Ages 3 - 14)

Technique Intensive (Ages 8+)

Required

Do you have any specific questions that we can help you with?

For information about our Covid-19 safety procedures, please visit www.mdmathome.com/covid-19

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