Center Camp Booking

*First Camp Theme:

Or:

Choose the theme for the first camp, or tell us if you want something custom

*First Desired Camp
Date:

/ /	Indicate your preferred date for the first camp

*First Camp Time:

Second Camp Theme:

Or:

Choose the theme for the second camp, or tell us if you want something custom

Second Desired Camp
Date:

/ /	Indicate your preferred date for the second camp

Second Camp Time:

Third Camp Theme:

Or:

Choose theme for the third camp, or tell us if you want something custom.

Third Desired Camp
Date:

/ /	Indicate your preferred date for the third camp

Third Camp Time:

Fourth Camp Theme:

Or:

Choose theme for the fourth camp, or tell us if you want something custom

Fourth Desired Camp
Date:

/ /	Indicate your preferred date for the fourth camp

Fourth Camp Time:

*Contact Name:

Please enter your name or the name of the individual we should contact for details

*Location Name:

Name of the location where you want the camp (e.g. school name)

*Address:

Street address of location

*City:

City of the location

*State:

State of location

*Zip:

Zipcode of location

*Contact Phone Number:

- - x

Provide a day time or cell phone contact number for the person we need to talk to

*Contact E-Mail:

Please enter a valid e-mail address for the contact person

Comments/Additional
Info:

(chars left: 1000)

Add any additional information or questions here

If you need to book more than 4 camps, you may complete this form multiple times as necessary or you may e-mail us at kids@dancercise.com or call us at (952) 925 3922. Completion of this form serves to indicate an interest on your behalf in booking one or more camps. We will make every effort to honor your date and time requests; however due to staff availability, Dancercise Kids will contact you to confirm details, availability and pricing.