REGISTRATION FORM CHILDREN SUMMER CAMP 2004
SOUNDANCE AT THE STABLE

CHILD'S NAME________________________________

GENDER:____D.O.B._____________

GRADE (9/04)________

PARENT 1____________________________________

ADDRESS____________________________________

PHONE (h)________________(w)_________________
EMAIL_______________________________________

PARENT 2_____________________________

ADDRESS___________________________________

PHONE: (h__________________(w) _________________
EMAIL________________________________________

ALLERGIES OR MEDICAL CONDITIONS:___________________________________
____________________________________________________________________
____________________________________________________________________
_______________________________________________________________

PLEASE CIRCLE THE WEEKS YOUR CHILD WILL ATTEND

Week 1 Ballet and Modern Dance
Week 2 Creative Dramatics
Week 3 Dance! Dance! Dance
Week 4 Hip Hop and Jazz

TUITION: $265 per week, plus registration fee of $30 per year. Tuition may be paid in full, or half with registration form and half on the first day of camp.

Please make checks payable to Soundance Inc.

Credit card payments are also available, please call
(212) 946-1771 to arrange.


FOR MORE INFORMATION:
Please call Soundance Director Vanessa Paige Swanson
at 212 946-1771.

RETURN FORM TO :
SOUNDANCE INC.
VANESSA PAIGE DANCE
508 NINTH AVE. #5FN
NYC, NY 10018