Creative Edge Dance Studio Bethlehem NH Dance Instruction
Creative Edge Dance Studio
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Summer Mini-Session Registration 2019
Young Dancer Summer Day Camp, July 8-12, 2019 Registration
2019 Summer Mini-Session Schedule and Tuition
July 8-12 Young Dancer Summer Day Camp Registration 2019
Please fill out the form below to register your child for our Summer Day Camp (8:45-2:45) for ages 6-11. After you have submitted this form, you will receive a statement from The White Mountain School for $200 tuition. You will receive a bill for your entire family, but need to complete a separate registration form for each student. Please submit payment by Wednesday, May 15, 2019.
Indicates required field
Student Birthdate (month, day, year)
Additional Email to which we should send information
Parent/Guardian Cell Number
Parent/Guardian Alternate Number
Emergency Contact #1
Emergency Contact #1 Phone Number
Emergency Contact #2
Emergency Contact #2 Phone Number
Release of Liability
As the legal parent or guardian, I release and hold harmless the White Mountain School's Creative Edge Dance Studio and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of the White Mountain School, Creative Edge Dance Studio, its Board of Directors and operators, or in route to or from any of said premises.
The school is hereby granted permission to take photos of the students to use in brochures, web site, posters, advertisements, or other promotional material. Permission is also hereby granted for the White Mountain School to copyright such photos.
The undersigned gives permission to the White Mountain School, its owners and staff to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health
By clicking the box below I state that I have read and agree to the Release of Liability, Photo/Image Release, and Medical Emergencies statements above.
I have read and agree
Please describe below any allergies the student has and/or any health or behavioral issues that may affect her or his participation in this program.
Creative Edge Dance Studio
The White Mountain School
491 West Farm Rd, Bethlehem NH 03574
Mailing: 371 West Farm Rd, Bethlehem NH 03574
603-444-2928 ext 307
All Photos on this Website Courtesy of
Alli Gaulin Photography