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68 West 9th ST Hialeah,FL 33010
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Summer Camp 2025
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SUMMER CAMP 2025
Registration Form
Date picker
Student First name
(Required)
Student Last name
(Required)
Student Birthdate
(Required)
Month
Month
Day
Year
Home Address
(Required)
Parent/Guardian Full Name
(Required)
Parent/Guardian Phone Number
(Required)
Parent/Guardian Email
(Required)
Does the child have any allergies we should be aware of?
(Required)
If yes, please specify any medications and/or other details that may be important for us to know.
Does child have any complications or medical conditions that may limit their ability in class or in any other activities.
(Required)
If yes, please specify
EMERGENCY CONTACT NAME
(Required)
EMERGENCY CONTACT PHONE NUMBER
(Required)
What classes given in the summer program that are listed below are you interested for your child to participate in?
(Required)
Ballet
Jazz
Hip Hop
Ballroom
Stretch
Tumbling
MMA/SELF DEFENSE
Volleyball
Soccer
Basketball
Art
Science/Cooking Projects (S.T.E.M)
What classes do you want your child to sit out of if any? please write N/A if you'd like them to join and participate in all classes.
Full names, as written on legal documents/license of person(s) who are allowed to pick up your child from our summer camp program.
(Required)
Parent/Guardian License Upload
(Required)
Upload File
Parent/Guardian Signature
(Required)
Sign in the box or use the keyboard to type.
Signature field is empty.
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