Form Page: RegistrationS

Online Registration form Summer Camp 2026

The Spirit of Dance
931 Whitlock Avenue, SW
Marietta, GA 30064
www.thespiritofdance.com
info@thespiritofdance.com

One form per student

Student's DOB

Student's First Name

Student's Last Name

Gender

Parent's Last Name

Parent's First Name

Mother's Cell

Mother's Work

Address

Home Phone

City

Father's Cell

Cell Provider

Required for text reminders

Father's Work

Zip Code

State

Other

Email addrress

Contact Information

Relationship

Last Name

Phone Number

First Name

Emergency Contact Information

Allergies/Medical conditions

How did you hear about us?

Grade entering into

Student's phone number:

Student's email address:

Insurance ID:

Insurance Company

Additional information

My child has permission to participate in The Spirit of Dance programs. I waive any right to claim against The Spirit of Dance staff and teachers in the event of accident, illness, injury, or loss of personal items. Children must be insured to participate in The Spirit of Dance programs. I have read or have had read to me the foregoing in its entirety and by placing my signature below do declare that I understand that any cost or injury resulting from participation in this church sponsored activity is my responsibility..

I agree.

My child’s photographs or video image my be used on promotional or informational materials, press media, and possible publication on the World Wide Web through the church’s web page or The Spirit of Dance website taken for positive public relation purposes

Liability Agreement

Select the desired classes from the dropdown list. To unselect a class, select the blank item.

Camp

The Spirit of Dance Studio, 931 Whitlock Ave, SW, Marietta, GA 30064

Camp

Due West Methodist Church, 3956 Due W Rd NW, Marietta, GA 30064

Camp

I have read, understood, and agree to the policies of Spirit of Dance

Camp

McEachern United Methodist Church, 4075 Macland Road, Powder Springs, GA 30127