LINDSEY’S DANCE XTREME, LLC
SUMMER DANCE CAMPS
563-340-2522
*FULL PAYMENT IS DUE AT THE TIME OF REGISTRATION TO RESERVE A SPOT IN A CAMP.
*ATTEND ALL THREE CAMPS AND RECEIVE A $15.00 DISCOUNT!
*PRICES ARE PER STUDENT/PER CAMP.
Child 1:______Birthdate:______Age:______
Parent(s) Name(s):______
Address:______
*Email Address:______
*We use email as our main source of communication. Please check your email frequently.
Cell phone:______Home phone:______
Previous dance experience:______
Allergies or limitations:______
Child 2:______Birthdate:______Age:______
Parent(s) Name(s):______
Address:______
*Email Address:______
*We use email as our main source of communication. Please check your email frequently.
Cell phone:______Home phone:______
Previous dance experience:______
Allergies or limitations:______
Child 3:______Birthdate:______Age:______
Parent(s) Name(s):______
Address:______
*Email Address:______
*We use email as our main source of communication. Please check your email frequently.
Cell phone:______Home phone:______
Previous dance experience:______
Allergies or limitations:______
*********************************************************************************
PLEASE CHECK Ö ALL CAMPS CHILD 1 ______IS ENROLLING IN:
Tap Camp (Saturday, June 3rd):
$35.00 for students enrolled in summer session
$45.00 for students not enrolled in summer session
______9:00 am-12:00 pm Ages 6-10 OR (Beginner/Advanced Beginner)
______12:30 pm-3:30 pm Ages 7 and up OR (Intermediate/Advanced)
*Ages are a suggestion
Princess Camp (Saturday, June 17th):
$45.00 for students enrolled in summer session
$55.00 for students not enrolled in summer session
*Princess camp is not part of the “3 camp discount.”
______9:00 am-11:30 pm Ages 3-7 (must be potty trained)
Jazz & Modern Technique including Leaps & Turns (Saturday, July 1st):
$35.00 for students enrolled in summer session
$45.00 for students not enrolled in summer session
______9:00 am-12:00 pm Ages 6-10 OR (Beginner/Advanced Beginner)
______12:30 pm-3:30 pm Ages 11 and up OR (Intermediate/Advanced)
*Ages are a suggestion
Hip Hop & Cheer Camp (Saturday, July 15th):
$35.00 for students enrolled in summer session
$45.00 for students not enrolled in summer session
______9:00 am-12:00 pm Ages 6-10 OR (Beginner/Advanced Beginner)
______12:30 pm-3:30 pm Ages 11 and up OR (Intermediate/Advanced)
*Ages are a suggestion
*********************************************************************************
PLEASE CHECK Ö ALL CAMPS CHILD 2 ______IS ENROLLING IN:
Tap Camp (Saturday, June 3rd):
$35.00 for students enrolled in summer session
$45.00 for students not enrolled in summer session
______9:00 am-12:00 pm Ages 6-10 OR (Beginner/Advanced Beginner)
______12:30 pm-3:30 pm Ages 7 and up OR (Intermediate/Advanced)
*Ages are a suggestion
Princess Camp (Saturday, June 17th):
$45.00 for students enrolled in summer session
$55.00 for students not enrolled in summer session
*Princess camp is not part of the “3 camp discount.”
______9:00 am-11:30 pm Ages 3-7 (must be potty trained)
Jazz & Modern Technique including Leaps & Turns (Saturday, July 1st):
$35.00 for students enrolled in summer session
$45.00 for students not enrolled in summer session
______9:00 am-12:00 pm Ages 6-10 OR (Beginner/Advanced Beginner)
______12:30 pm-3:30 pm Ages 11 and up OR (Intermediate/Advanced)
*Ages are a suggestion
Hip Hop & Cheer Camp (Saturday, July 15th):
$35.00 for students enrolled in summer session
$45.00 for students not enrolled in summer session
______9:00 am-12:00 pm Ages 6-10 OR (Beginner/Advanced Beginner)
______12:30 pm-3:30 pm Ages 11 and up OR (Intermediate/Advanced)
*Ages are a suggestion
*********************************************************************************
PLEASE CHECK Ö ALL CAMPS CHILD 3 ______IS ENROLLING IN:
Tap Camp (Saturday, June 3rd):
$35.00 for students enrolled in summer session
$45.00 for students not enrolled in summer session
______9:00 am-12:00 pm Ages 6-10 OR (Beginner/Advanced Beginner)
______12:30 pm-3:30 pm Ages 7 and up OR (Intermediate/Advanced)
*Ages are a suggestion
Princess Camp (Saturday, June 17th):
$45.00 for students enrolled in summer session
$55.00 for students not enrolled in summer session
*Princess camp is not part of the “3 camp discount.”
______9:00 am-11:30 pm Ages 3-7 (must be potty trained)
Jazz & Modern Technique including Leaps & Turns (Saturday, July 1st):
$35.00 for students enrolled in summer session
$45.00 for students not enrolled in summer session
______9:00 am-12:00 pm Ages 6-10 OR (Beginner/Advanced Beginner)
______12:30 pm-3:30 pm Ages 11 and up OR (Intermediate/Advanced)
*Ages are a suggestion
Hip Hop & Cheer Camp (Saturday, July 15th):
$35.00 for students enrolled in summer session
$45.00 for students not enrolled in summer session
______9:00 am-12:00 pm Ages 6-10 OR (Beginner/Advanced Beginner)
______12:30 pm-3:30 pm Ages 11 and up OR (Intermediate/Advanced)
*Ages are a suggestion
TUITION DUE: *Don’t forget to deduct the $15 discount if the student enrolls in all 3 camps.
CHILD 1: $______
CHILD 2: $______
CHILD 3: $______
TOTAL DUE NOW: $______
CHECK #______
CASH______
PARENT SIGNATURE:______DATE:______