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Individual Registration
Please enter information in the form below to process registration for event
Camp Registration-22
.
Basic Information
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip
*
Cell #
*
Emergency #
*
Parents Email
*
Enrollment
Camper
Camper $220
(Includes:NO HOTEL, Lunch, dinner, day/night classes)
Mini-Camper: Saturday Only
Mini-Camper's $100
I consider myself
--Select--
Beginner
Intermediate
Advanced
I am interested in
Kids 2 National (K2N)
Dance
Contest Twirler
Majorette
The private lesson schedule is now available. We are asking you to select your time slot & specific teacher if they are available throughout camp. Private Lesson request will be filled based on availability.
** Reminder: Camp session registration is required in order to book a private lesson. If you cancel with less than 48 hours notice, payment will be invoiced for full amount. Private lesson available on a limited basis $35 per lesson CASH ONLY pay at lesson.
Order T-Shirts
T-Shirt $20 each
*
--Select--
No Shirt
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Additional T-Shirt
--Select--
No Shirt
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Waiver
Medical Waiver ** Please download the medical waiver and e-mail to secampofchamps@yahoo.com by June 1, 2022.
Payment Information
Amount
$
Payment processing fee
$
Gross amount
$
Deposit Amount
$
Payment Type
Full Payment
Deposit Payment
Payment Method
*
Paypal
Mail Certified Check or Money Order
Credit/Debit Card
Billing Zipcode
*
Credit Card Number
*
Expiration Date
*
01
02
03
04
05
06
07
08
09
10
11
12
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2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Card (CVV) Code
*
Card Holder Name
*