A Time for Dance Pre-Pesach Camp Registration 2020
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Camp Details:
A Time for Dance is offering a Pre-Pesach camp schedule

Thursday- Wednesday (April 2nd, 3rd, 6th, 7th & 8th)

April 2nd-8th, 2020
hours 9:00-3:00

for girls ages: 3-12
young boys ages 3-9
 
at 7269 Beverly Blvd. LA

Activities Include: Davening, Learning, Gymnastics, Hip Hop, Acting, Singing, Dance
Awesome Edible Creations, Pesach themed- Arts and Crafts
Snacks included

$60 per day or $275 for the full week

A Time for Dance is an INSPIRE provider

Have a blast while learning skills!
All classes taught by professionals
Perfect for working parents!  

For more information: atimefordance@gmail.com
PRE-PESACH DANCE CAMP 2020 – Registration Form
 Camper's / Dancer's Name *
First and last
Date of birth *
mm/dd/yyyy
Age *
Address *
City *
State *
Zip *
Parent's Name *
Email *
Home Phone *
xxx-xxx-xxxx
Mother's Cell *
xxx-xxx-xxxx
Father's Cell *
xxx-xxx-xxxx
Emergency Contact Name *
Emergency Contact Phone Number *
xxx-xxx-xxxx
Physician's Name
Physician's Phone Number
xxx-xxx-xxxx
Special Preferences: (cholov yisroel, pas yisroel etc.)
Medical Information:  Allergies
I confirm that the above named camper/dancer is in good health and has had a physical exam within the past year. *
Carpool information: If anyone other than a parent will be picking up your child, please enter their name.
Previous Dance Experience
Please specify which days your dancer/camper will be attending *
You may choose more than one day or the entire week (April 2nd - April 8th, 2020)
Required
PLEASE READ AND SIGN
In case of an emergency and I cannot be reached, I authorize the staff of “A Time For Dance” summer camp to obtain whatever medical treatment deemed necessary for the welfare of my child. I further understand that I am financially responsible for all the fees and charges incurred of the rendering emergency treatment G-d Forbid. I have read and agree to the policies and procedures of  Time for Dance camp” and give consent to my child’s participation in activities at A Time For Dance and hereby absolve and release “A Time For Dance” and staff for any lost property and from any liability for accident or injury.
Parent's Signature *
Typing your name here will serve as an electronic signature
Today's Date *
mm/dd/yyyy
To Complete Registration:
Your registration is not complete without full payment.  

Please click the "Submit" button then click the link on the next page to pay the camp fees.


A Time for Dance  
www.atime4dance.com
(323) 404-0827
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