Summer Camp REGISTRATION FORM Please enable JavaScript in your browser to complete this form.Student's Name *FirstLastDate of Birth *Parent's Name *FirstLastEmail *Phone *School *Address2ND EMERGENCY NAME: *2ND EMERGENCY CONTACT: *Classes6/10-6/14 w1 Little Mermaid 9:00am-4:00pm6/17-6/21 w2 Little Mermaid 9:00am-4:00pm6/24-6/28 w3 Barbie 9:00am-4:00pm7/1-7/5 w4 Barbie 9:00am-4:00pm7/8-7/12 w5 Taylor Swift 9:00am-4:00pm7/15-7/19 w6 Taylor Swift 9:00am-4:00pmHalf day camp (please leave in comment with dates of camp)Single day camp (please leave in comment with dates of camp)How did you hear about us? *Please check to give us permission to take photographs of your child for our gallery, website, and social media. *YesThank you for your interests for Athena Dance Academy! We will be in touch with you shortly for payment and class details. Comments or Questions? Contact us: Email:contact@athenadanceacademy.org website:www.athenadanceacademy.org Phone: 281-809-3362Submit