Minis (Ages 7 - 10) June 18th-21st

Dance Camp Registration DEADLINE is June 2nd
LATE Registration (if spots are available) will be June 3rd - June 9th (with price increase)

Registration CLOSED - if you would like to see if there are spots available, please email director@conservatorydancecamp.com BEFORE filling out this registration form.

Returning Camper? *
Sex *
I am aware that camp is: June 18th - June 21st MON - THUR 9am-5pm with the showcase @ 3pm on THUR at Tarpon Springs MIDDLE School *
Dance Class *
Flag Class *
Rifle Class *
Sabre Class *
Please check the following pieces of equipment you will need to borrow for Guard Camp:

Camp Payment Due

Current Total:
$0.00

Parent/Guardian Contact Info

Emergency Contact Info

Medical Info

My child has no known allergies
This causes anaphylaxis
This causes anaphylaxis
The Conservatory fo the Arts DANCE CAMP staff will NOT administer medication, except in an emergency situation and/or we have explicit permission from parents.

LEGAL

I understand that the Conservatory for the Arts DANCE CAMP does not provide insurance. I also understand that children with reoccuring behavioral problems will be dismissed from camp without a refund. Misconduct will not be tolerated.
DANCE CAMP-Last date for full refunds is June 2nd 2018. After June 2nd, 2018, 60% of all fees are non-refundable. On and after June 18th, 2018, all funds are non-refundable. Please sign below to verify your knowledge of the above refund policy and that all of your information as well as your child's concerning their information, emergency contacts and medical history are correct and to the best of your knowledge.
 
GUARD CAMP- Last date for full refunds is June 23rd 2018. After June 23rd, 2018, 60% of all fees are non-refundable. On and after July 11th, 2018, all funds are non-refundable. If you purchased your Guard Camp bundled with the Dance Camp... and wish to cancel just the Guard portion... you will only be receiving the discounted portion you paid for Guard Camp, not the full price of $50. Please sign below to verify your knowledge of the above refund policy and that all of your information as well as your child's concerning their information, emergency contacts and medical history are correct and to the best of your knowledge.

I, on behalf of myself, and the below named child (“Participant”) (collectively, the “Consentee”) acknowledge that as a participant in the CONSERVATORY FOR THE ARTS DANCE CAMP (the “Program”) that the Participant may engage in, among other things, recreational activities and dance activities. Consentee agrees to assume all risks and liabilities associated with Participant’s participation in the Program and to hold the Conservatory for the Arts DANCE CAMP, its directors, officers, agents, contractors and employees (collectively, “Conservatory for the Arts DANCE CAMP”) harmless from any and all claims, causes of action, losses or damages arising from or as a result of Participant’s participation in the Program, except due to the negligence or wrongful act or omission of the Conservatory for the Arts DANCE CAMP. However, the Conservatory for the Arts DANCE CAMP’s liability hereunder is subject to the extent and limitations of Section 768.28, Florida Statutes, and nothing herein shall be construed as a waiver of the Conservatory for the Arts DANCE CAMP’s sovereign immunity beyond that provided in Section 768.28, Florida Statutes.

Consentee also hereby authorizes the Conservatory for the Arts DANCE CAMP to photograph, record, tape, film or electronically capture in permanent form the Participant and Participant’s name, likeness, image, voice, biographical and personal information, appearance and/or performance, and/or further to use and publish the writings of Participant (collectively, the “Work”).

Consentee further grants the Conservatory for the Arts DANCE CAMP full permission to edit the original Work as shall be deemed necessary; that the Work and Participant’s name may be used, published and distributed, without remuneration to Consentee in whole or in part, for educational, instructional, advertising or promotional purposes in print or over open broadcast, cable, audio-visual, radio, closed circuit exhibition, computer link, Internet or other medium as deemed appropriate by the Conservatory for the Arts DANCE CAMP, in perpetuity, throughout the world. For these purposes, Consentee waives and relinquishes my rights and the rights of the Participant with respect to any personal rights, privacy rights and protections, including, but not limited to, those rights under the Family Educational Rights and Privacy Act of 1974, as Amended (FERPA), Section 1002.21 and 1002.22, Fla. Stat., Section 23 of Article I of the Florida Constitution and The Board of Trustees Conservatory for the Arts DANCE CAMP. Said Work shall become the sole property of Conservatory for the Arts DANCE CAMP and may be copyrighted in its own name or name of its choosing.

Consentee also releases the Conservatory for the Arts DANCE CAMP from any and all claims for libel, slander, invasion of privacy or other claims based on Participant’s appearance and/or performance and the recording of such, and agrees to hold the Conservatory for the Arts DANCE CAMP harmless from any and all claims by third parties, including any claim based on an allegation of copyright infringement related to Participant’s appearance or performance.

 

The Conservatory for the Arts DANCE CAMP also encompasses the Tarpon Springs GUARD CAMP.

Please sign here to acknowledge consent and confirmation that all of the information entered above is correct: *
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PayPal

The next page requires you to pay through PayPal. Your registration will go through to the staff as soon as you click below, however, you will not be considered officially enrolled until your PayPal transaction is complete. You will receive an email from Conservatory for the Arts Dance Camp as well as PayPal!
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