Music, Art and
Movement
Summer Camps!!
Academy of Dance Arts and Kindermusik of Charleston
(843) 884-2983 1510-B
Highway 17 North Mt. Pleasant, SC 29464
Dates offered: June 6-10, June 27-July 1 and July 25-29
Ages: 3 –7 years
Cost: $100.00 per child per week
($40.00 deposit required with registration,
$60.00 balance due first day of camp)
Camp meets from 9:00-11:30 daily with drop-off from 8:30-9:00 and
pickup by 12:00. Children participate in all three classes each day
and are served a mid-morning snack. Children should wear
comfortable play clothes and ‘slip-on’ shoes.
Music, Art and Movement Camp Registration
– 2011
Child’s Name: _________________________Age:
___Date of Birth: _______Sex: M / F
Parent’s Names: __________________________________________________________
Home Address: __________________________________________________Zip:
_____
Home Phone: ________________ Cell phone: ____________________
Emergency contact: _________________________________
Phone #:_______________
Preferred week(s): ___June 6-10 ___ June 27-July 1 ___July 25-29
Waiver for participant: In consideration
of your accepting my entry, I hereby, for myself, my child, my heirs, executors and administrators, waive and release any
and all rights and claims for damages I or my child may have against the Academy of Dance Arts and its representatives, successors
and assigns for any and all injuries suffered by myself or my child at any activity sponsored by these groups.
Parent/Guardian Signature: _________________________________________________
Make checks payable to: Academy
of Dance Arts