RRMS/HS DANCE CAMP SUMMER 2024

STUDENT NAME STUDENT NAME First Last
DATE OF BIRTH (MM/DD/YYYY)
SCHOOL ATTENDING
GRADE ENTERING
TSHIRT SIZE
PARENT NAME 1 PARENT NAME 1 First Last
PARENT NAME 2 PARENT NAME 2 First Last
ADDRESS ADDRESS
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
PARENT 1 PHONE PARENT 1 PHONE - ### - ### ####
PARENT 2 PHONE PARENT 2 PHONE - ### - ### ####
EMERGENCY CONTACT EMERGENCY CONTACT - ### - ### ####
List any physical/mental conditions or any pertinent medical history that we need to be aware of:

List any allergies or health concerns we should be aware of:
We, the parents of the above child, hereby give my/our approval for his/her participation in activities during the current session. We assume all risks and hazards incidental to the activities and transportation to and from the activities. In case of injury to my child, I/We hereby waive all claims against River Ridge High School and staff. I/We release from responsibility any person transporting my child to the doctor, or hospital in case of injury.

We agree to pay the dance camp weekly fee. Please note the summer dance camp can be cancelled due to lack of participation, in this event, a full refund will be issued to the payer by mail. If you cancel once payment is received a partial refund may be given. I/We have read the summer dance camp contract and agree to abide by it.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.