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Where Fairytales come to Life!
Camp Registration Form
Child's Name:___________________________ Age:________ DOB:__________ Parent's Name:____________________________________________________________ Parent's Phone #:_______________________________________________________________ Address:__________________________________________________________
Parent Consent: Every effort will be made to create a safe environment. I release Dance Imagination from all liabilities for injuries or damages arising out of personal injury. We will charge a $25 fee for returned checks. Parent's Signature:__________________________ Date:_______________
Registration Forms can be mailed to the following address: 410 Township Ln Woodstock GA, 30189
Fax # 770-704-6972
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