CMA Summer Dance Camp 2011, Littleton - Registration Form
One Student per form. Please PRINT legibly.
CMA Summer Dance Camp 2011
Littleton
Registration Form
  • Please enclose ONE registration form for EACH individual student. Separate checks are not necessary.
Please Print Clearly
Name: ________________________________
Parents' Name(s): __________________________
Add: __________________________________
City: _________________St_____Zip________
Phone: ( _____)_________________________
Email: ________________________________
Birthdate: ______________________Age:_____
T-Shirt size:
pS Youth   pM Youth   pL Youth
pS Adult    pM Adult    pL Adult    pXL Adult

Level of Training:
  pBeginning    pIntermediate    pAdvanced

Dance Selection:
  pWorship        pDramatic        pPraise

Adult Track: p

Are you able to participate in our:
  p Nursing Home Outreach- Thurs. June 23th
  p Worship Concert- Fri. June 24th

Have you taken classes with CMA before? Yes p No p
If No, how did you hear about us?____________________

I have enclosed the following payment:
p $120.00 - Camp
p $140.00 - Camp + Teacher’s Workshops
p $35.00 - Teachers Forum & Choreography Workshop

Check # ___________     Amount: ____________
Please send to:
Celebration Ministry of Arts
P.O. Box 621367
Littleton, CO. 80162-1367
Celebration Ministry of Arts
Dance Camp Rules
  • Arrive on time, enter the designated entrance, and remain in the auditorium area. Do not go to other parts of the church facility.
  • Please do not make or receive personal phone calls from South Fellowship.
  • Please do not move furniture and do your best to clean up after yourself.
  • Do not bring orange, cherry or grape sodas or cheesy snacks. Please eat only in the front part of the building.
  • Do not run in the building. 
  • Children must be supervised at all times.
  • Drinks and bathroom breaks are by teacher permission only.
  • Listen to your instructor. No talking while the teacher is talking.
  • No chewing gum or food during class.
  • Follow CMA’s designated dress code.
  • Do not speak negatively about anyone and show respect for all teachers, students, and parents.
  • Do everything with all your heart as unto the Lord!
Student’s Name: _______________________

Age: ________ Date: ___________________

I understand and acknowledge the rules of CMA and agree to follow them. I also understand and acknowledge that if I break these rules I will receive one warning and my parents will be notified. I recognize that further infractions will jeopardize my continued participation in CMA activities. I understand and acknowledge that dance is an intense physical activity that entails the possibility of personal physical injury. By signing this agreement, I agree to hold harmless South Fellowship or Celebration Ministry of Arts Inc. of any legal liability for an injury or accident directly resulting from participation in CMA activities.

__________________________________
PARENT SIGNATURE (if under 18)

__________________________________
STUDENT SIGNATURE

Print this page, fill out the form, and mail with payment to:
CMA
P.O. Box 621367
Littleton, CO  80162-1367

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