Summer Camps 2010 Registration Form

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Registration due by July 1st  ($10.00 late fee per dancer for entries after July 1st)

Dancers

Name:

 

Parents

Name:

  
Date of Birth:   Dance Level:  
Address:   Email:  
Phone:   Cell:  

Feis Camp:  7/ 12 - 7/15 @ Brewster                                                                                                            Price $75.00 per dancer

Session I  (Nov 2, PW, Champs): 10:00 am - 12:00 pm        Session II (Beg, Adv Beg & Nov 1): 3:00 - 5:00 

Tuesday & Thursday Tir Na Nog (2,3 & 4 yearolds) :  Two 45 minute classes per session             Price $20.00 per session    

Session I  (July 13 & 15 ): 1:00 pm              Session II (July 20 & 22): 10:00 am         Session III  (August 24 & 26): 3:30 pm

New Material Camp:  8/23 - 8/26 @ Brewster                                                                                              Price $75.00 per dancer

Session I  (Beginner & Adv Beginner): 10:00am - 12:00         Session II (Novice & Prizewinner): 1:00 - 3:00

Champ Camp:  8/24 - 8/26 @ Brewster                                                                                                         Price $75.00 per dancer

Session I (championship):  6:00 - 8:00

Registration Information:

Camp
Dates
Time
Price
# of Dancers
Total
         
         
         
         

*$25 Non-Refundable deposit per camp is required of all participants by 7/1/10. Remaining balance to be paid the first day of the camp.

*$10 Non-Refundable deposit per Tir na Nog session is required of all participants by 7/1/10. 

Total:                         

Deposit:                     
 

I acknowledge that this activity involves exertion and carries with it the potential for injury. I hereby agree to waive the right to take legal action against the Kelly-Oster School, Carmel VFW, KKO dance studio / Oster Family Home, Kerry Kelly-Oster, Karyn Oster, and/or any affiliates and associates for injuries incurred on these premises. It is understood and agreed that the participant is physically fit and prepared for participation in the activities which will be undertaken, and that the participant has not been advised by any doctor or other medical person that participation in these activities should be avoided and/or limited.

 

 

 

Parent/Guardian Signature:                                                                                                Date: