Mini-Dance Camp Registration Form

Name: _______________________________________________________

Contact Numbers:                             Age:    __________  Email: ____________

Home: ________________ Cell: _________________ Work ___________

Address: _____________________________________________________

City: ____________________________ Zipcode: ____________________

Parent’s Signature:  ____________________________________________

Tuition (includes registration): $55

Your preference for week:             July 11-15       Aug 1-5

Choose both and save $10!

Mini-Dance Camp

ages 5 & under

Mon-Fri   3:30-4:30pm

July 11-15, 2011

August 1-5, 2011

$55 PER SESSION

CHOOSE ONE OR

BOTH AND SAVE $10

One Week Camp Includes:

Ballet - teaches grace, poise, balance and flexibility

Tap - teaches beats, counting and percussion

Jazz - shaking and moving to fun children’s music designed to let the energy out

Acrobatic Tumbling - builds strength, balance and endurance

Please mail this form to MAILING ADDRESS:

4600 Hwy 22 Suite 6

Mandeville, LA 70471

4600 Hwy 22, THE WOODLAND CENTER, Mandeville, LA 70471

Dance With Carol

(985)727-1030

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