Summer Registration
Please fill out this form carefully to register. Online payments are temporarily suspended while we upgrade our online payment system. Please pay for our summer programs at the studio when you bring your dancer or contact the studio by phone or in person to register.
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Year
School
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Student E-mail
THREE WEEKS OF 2017 SUMMER DAY CAMPS LEFT!
Acro Circus Aug 14-18 Cobourg
Acro Circus Aug 14-18 Brighton
Acro Aug 21-25 Cobourg with the YMCA
Dancers REBOOT Aug 28-Sep 1
Student 2
Student 2 Name
First Name
Last Name
Gender
Female
Male
Birth Date
January
February
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1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
School
Student E-mail
THREE WEEKS OF 2017 SUMMER DAY CAMPS LEFT!
Acro Circus Aug 14-18 Cobourg
Acro Circus Aug 14-18 Brighton
Acro Aug 21-25 Cobourg with the YMCA
Dancers REBOOT Aug 28-Sep 1
Student 3
Student 3 Name
First Name
Last Name
Gender
Female
Male
Birth Date
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
School
Student E-mail
THREE WEEKS OF 2017 SUMMER DAY CAMPS LEFT!
Acro Circus Aug 14-18 Cobourg
Acro Circus Aug 14-18 Brighton
Acro Aug 21-25 Cobourg with the YMCA
Dancers REBOOT Aug 28-Sep 1
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Next
Terms & Conditions
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I do not hold Premiere Dance Cobourg or their instructors and staff liable for any type of injury, damages, or for lost or stolen items.
I agree to comply with all Dress Codes and Poilicies & Procedures as set out by Premiere Dance Cobourg.
I give permission to receive email messages and for videotaping and photography by Premiere Dance Cobourg and the company that they hire.
I give permission for my child's photo and name to be used in advertisements and promotional materials.
I acknowledge and accept that I am not allowed to videotape or record performances without written permission from Premiere Dance Cobourg.
I acknowledge that I am responsible in making a payment within 5 days for my spot to be held in the camp.
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