SUMMER

CAMPS at Raskin

Dance Studios

2143 Partin Settlement Rd.

Kissimmee/St. Cloud

(407) 870-7717

www.raskindancestudio.com

REGISTRATION FORM

Please complete, detach and return with the appropriate deposit by June 2nd to the front desk.

Parent Name: ____________________________

Address: ________________________________

City: ______________ ST ____ Zip: ________

Phone: _____________ Phone: _____________

Email: _________________________________

Student Name: _____________________

Age: _________ Training: __________

WORKSHOP PROGRAM:

Dance Camp June 11-June 29th Week One □ Week Two □

Week Three □ ($25 non-refundable deposit per week due)

Musical Theatre Camp July 9th-27th

Week One □ Week Two □ Week Three □

($100 non-refundable deposit due to hold your space)

Summer Intensive Week One □ Week Two □ July 30th - August 3rd August 6-10th

($50 non-refundable deposit due)

Non-refundable deposit due by June 2nd and balance paid by the first day of class. There are no credits for missed classes. Please pay by check or cash.

I recognize the risks of physical injury inherent in dance training and I am willing to assume those risks. I agree that I will not hold Raskin Dance Studio or any faculty member or employee liable for injuries sustained or illnesses contracted by me while in attendance and/or participation on the Raskin Dance Studio Summer Programs. I hereby grant permission to transport me to a medical doctor or hospital in case of illness or injury and I may receive treatment as deemed necessary by a licensed physician in the event of an emergency.

Parent Signature ___________________________________ Insurance Co: ______________ Policy: _______________ Emergency Contact: ________________________________ Phone: _______________ Phone: ___________________

Dance Camp at

Raskin Dance

Studios

Join us June 11th - June 29th

Dance Camps for

Beginning and

Intermediate Students!

� Offering all subjects PLUS MORE!!

This will be an exciting week full of FUN!! GAMES!!! And of

course… DANCING!!

$100 per week $25 per day / $10 per class

(Bring your own lunch) 8am-4pm

(before and after care available for $5 per hour paid and arranged in advance)

5 classes per day!! Showcase every Friday!!

$25 non-refundable deposit to hold your space per week by June 2, 2012!

Musical

Theatre Camp at

Raskin Dance

Studios

Join us July 9th - 27th

Musical Theater Camp will give you the chance to sing, dance and act in a Broadway Musical Review.

**All Levels Welcome****All Levels Welcome****All Levels Welcome****All Levels Welcome** Each week your child will study

different Broadway Musicals to include scenes and choreography.

Showcase every Friday!!

Musical Theatre Camp

for ages 6 and UP!

$100 per week $25 per day / $10 per class

(Bring your own lunch)

8am-4pm (before and after care available for $5 per hour

paid and arranged in advance)

$100 non-refundable deposit to hold your space by June 2, 2012!

Intensive Summer Workshop

Teaching Confidence, Endurance and Artistry

July 30-August 3rd The Technique Intensive For dancers of an intermediate and advanced level wanting to refine and

strengthen the fundamentals of dance in Ballet, Jazz, Modern, Lyrical &

Contemporary

August 6-10th The Rhythmic Intensive

Exploring Tap, Hip Hop, Drumming, Funk Jazz, African Dance, Latin Jazz

and more. This workshop is designed to help develop and learn rhythms by

strengthening the ear, to better understand syncopation and counter rhythms.

10a-6p

$150.00 for one week/$250 for both! ($50 Deposit to hold your space by June 2, 2012)

All students will perform in a showcase at the end of each week!

Must be a Level III & Up!

**Bring Lunch and a Snack**

(There will be Guest Teachers throughout the week!)