Summer 2023 Camp Registration

Summer 2023
Worship Dance Camp Registration

First Name

Last Name

Gender

Female

Male

Age

Date of Birth

Grade

Street Address

City/State/Zip

Phone

Parent/Guardian Contact Information

Mother/Guardian's Name

Mother/Guardian's Cell Phone

Father/Guardian's Name

Father/Guardian's Cell Phone

Mother/Guardian's Email

Mother/Guardian's Other Phone

Father/Guardian's Email

Father/Guardian's Other Phone

Dance Camp runs August 7 - 10 from 9:00a - 12:00p for ages 4 - 10 and 12:45p - 3:00p for ages 11 - 15. Director's approval is required for any planned absence. Do you currently know of any day/time your child cannot be in attendance?

Is there any specific information we need to know about your child? (Medications, Allergies, Shyness, Physical Limitations, etc.)

Terms and Conditions

By checking the box below, I consent for my child to participate in the 2023 Summer Worship Dance Camp offered by Zion Center for Worship and the Arts/Resurrection Dance Ministry. I realize I must also sign and return a completed "ZCWA/RDM Liability Waiver" and a "Guidelines for Participation in Worship Dance Camp" form prior to my child's arrival at camp. (Forms will be sent once camp registration and payment have been received.)

I agree to the terms & conditions stated above.

NOTE: Your registration is not complete until

your payment has been received.

Summer 2023 Worship Dance Camp Registration

Parent/Guardian Contact Information

Terms and Conditions

Summer 2023
Worship Dance Camp Registration