Camp Booking Form

Child's Name: *

Child's Name:

First Name

Last Name

Child's DOB: *

Parent's Name: *

Parent's Name:

First Name

Last Name

Email Address: *

Phone number: *

Medical conditions if any:

Emergency Contact 1: *

Please provide name, phone number and relationship to child.

Emergency Contact 2: *

Please provide name, phone number and relationship to child.

Terms and Conditions: *

Please be aware that due to the nature of dance and for your child's growth, development and safety it will be necessary at times to engage in physical contact with your child. This will always be done in an appropriate manner and with your son or daughter's best interests in mind. All of our staff are qualified and experienced and have your child's safety at the forefront of their minds in every class, however we will not be held responsible for any accidents that may occur. Please note will are unable to accept any cancellations with less than 7 days notice.

I accept the terms and conditions.

Photo Permission: *

Please tick if you give The Little Dance Academy permission to use photos of your child taken at the camp for advertising purposes on our website, print or social media.

Yes

No