Rising Stars Studio of Dance SUMMER CAMP

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Student's Name

Age

Mailing Address

Parent Email Address

Contact Phone Number

Medical or Health Conditions? If yes, please list

Please select which camp(s) you are registering for

Dancing Diva August 3rd-7th Ages 6-8 4:00-5:00pm

STARS Intensive August 10th-13th Ages 8+ 4:00-6:00pm * audition 8/14

PAYMENT IS DUE VIA VENMO UPON REGISTERING: Mallory-Horowitz

I have read the ABOVE and agree

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As the legal parent/guardian I release and hold harmless Rising Stars Studio of Dance, It's owners and operators from any liability, claims, demands and any action whatsoever, arising out of or related to any loss, damage or injury that may be sustained by the participant, and/or the undersigned, while in or on the premises of Rising Stars Studio of Dance, or under the supervision of its owners, operators or teachers. I also give Rising Stars Studio of Dance the right to use my child's photo for their website and other social media outlets

I have read the above and AGREE

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