June 25 - 29

Monday – Friday: 9a - 12p

Join us at Giselle DiBlasi School of Ballet for our 2017 Summer Dance Camp!

Dance Camp is a great way to get introduced to the magic of dance & ballet.

$25 registration fee

$100 tuition per student, per week

Space is limited, Register by June 10, 2018

Student Name *

Student Name

First Name

Last Name

Student Date of Birth *

Student Date of Birth

YYYY

Parent/Guardian Name *

Parent/Guardian Name

First Name

Last Name

Email Address *

Home Phone Number

(###)

###

####

Cell Phone Number *

Cell Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact *

Emergency Contact Phone # *

Emergency Contact Phone #

(###)

###

####

770.820.7810

giselle@diblasiballet.com

Dance Camp

*No refund or deduction for missed classes, but encourage all students to make up classes.