ANNEMARIE'S DANCE ACADEMY
Summer Acro Camp
-- Practice your tricks --
(Not for beginner acro students)

JUNIOR ACRO CAMP
Hours: 9:00am to 10:30pm
Wk-1: July 13-16 $65
Wk-2: Aug 17-20 $65
Register for two weeks and save $10 -- only $120!
    
INTERMEDIATE ACRO CAMP
Hours: 10:30am to 12:00pm
Wk-1: July 13-16 $65
Wk-2: Aug 17-20 $65
Register for two weeks and save $10 -- only $120!
Register by phone [519-940-0524] or ONLINE here:

Family Last Name:  
Home Phone #: [Use format 999-999-9999]  
E-Mail Address:
Street Address:
Town:
Postal Code


CHILD #1:
First Name Last Name
Date of birth: YY MM DD Health Card Number
Please check off week(s) child is registering for:
Acro Camp: Wk1 - July 13-16 Wk2 - Aug 17-20
You will be advised of student's level when we call to confirm registration.
 
CHILD #2:
First Name Last Name
Date of birth: YY MM DD Health Card Number
Please check off week(s) child is registering for:
Acro Camp: Wk1 - July 13-16 Wk2 - Aug 17-20
You will be advised of student's level when we call to confirm registration.
 
CHILD #3:
First Name Last Name
Date of birth: YY MM DD Health Card Number
Please check off week(s) child is registering for:
Acro Camp: Wk1 - July 13-16 Wk2 - Aug 17-20
You will be advised of student's level when we call to confirm registration.
 
Mother:
  Phone# Day: Eve: Cellular:
Father:
  Phone# Day: Eve: Cellular:
In case of emergency [and parents cannot be reached], please contact:
Annemarie's Dance Academy is not responsible for injuries incurred outside the dance class.


Additional information:


[Please check all information before submitting...]
     
Click this button ONLY ONCE!

THANK YOU!
*** Please drop off current cheque or cash to the studio as soon as possible ***
*** Your child's spot will be reserved when fees are fully paid ***
[No post-dated cheques will be accepted.]

70 Centennial Rd, Unit 1B
Orangeville, ON
L9W 1P9
519-940-0524