REGISTRATION FORM:

Please complete the registration information on the following form and click the submit button below to send it to us in an email message. If you have more than one child registering with us, please fill out one form for each child. Thank you.

Student Name:
 DOB: Age:
Parent/Guardian Name:
  
Address:
  
City:
 State: Zip:
Home Phone:
Work Phone:
Cell Phone:
 Email:
Emergency Contact:
 Phone:
Relationship to child:
  

Seats will be filled on a first come, first served basis. Payment for campss must accompany this registration form. Late registrations are welcomed as space permits. Arts ‘n Motion reserves the right to reschedule or cancel any camps due to inadequate enrollment with full refunds provided. There will be a $25 fee for all returned checks.

 

What Camps/Classes(es) would you like to register for?
Please note: These often fill up quickly, and your desired camp or class may not be available. We will contact you in that instance to determine your 2nd choice.
Camp/Class:
 Day: Time:
Camp/Class:
 Day: Time:
Camp/Class:
 Day: Time:
   
How did you hear about us?
Returning student
Chesapeake Family Magazine
Maryland Kid's Directory
My New Home
Val Pak
Referral from

 

  

Please read our Studio Policies:
I have read and agree to abide by the studio policies of Arts 'n Motion.

A reminder: If you have two or more dancers, this form must be filled out for each dancer.

  

Arts 'n Motion
8251-B Telegraph Road
Odenton, MD 21113
410-674-7001

©2005-6 Arts 'n Motion. All rights reserved.