SUMMER CLASS REGISTRATION 2023 Student Name * First Last Parent/Guardian Name * First Last ADDRESS * CITY, STATE, ZIP * Phone * Email * Student Date of Birth * SUMMER DANCE INTENSIVES. FOR Intermediate – Advanced dancers ages 8-20. Contact us for questions on placement. Please check all that apply. WEEK ONE. JULY 17 – 21. 9:00am – 12:00pm (Int/Adv ages 13-20) 9:00am – 12:00pm (Int ages 8-12) Add tumbling 12:00pm – 12:45pm (ages 8-20) WEEK TWO. JULY 24 – 28. 9:00am – 12:00pm (Int/Adv ages 13-20) 9:00am – 12:00pm (Int ages 8-12) Add tumbling 12:00pm – 12:45pm (ages 8-20) WEEK THREE. AUGUST 7 – 11. 9:00am – 12:00pm (Int/Adv ages 13-20) 9:00am – 12:00pm (Int ages 8-12) Add tumbling 12:00pm – 12:45pm (ages 8-20) WEEK FOUR. AUGUST 14 – 18. 9:00am – 12:00pm (Int/Adv ages 13-20) 9:00am – 12:00pm (Int ages 8-12) Add tumbling 12:00pm – 12:45pm (ages 8-20) KIDS DANCE CAMP! (for beginner/intermediate dancers ages 5-8) KIDS CAMP (July 31 – August 4) 9:00am – 12:00pm | $195. TUMBLING SESSIONS (for dancers ages 8 – 18) SESSION I: July 11, 18, 25 & August 1 | 6:45pm – 7:45pm | $60. SESSION II: August 8, 15, 22, 29 | 6:45pm – 7:45pm| $60. TEEN TECH CLASSES (for beginner/intermediate dancers ages 13 – 18) July 10, 17, 24, 31 | 5:30pm – 7:00pm | $90. LEVEL ONE (for dancers ages 4-6) SESSION I: July 11, 18, 25 & August 1 | 5:30pm – 6:45pm| $75. FULL(contact us to be waitlisted) SESSION II: August 8, 15, 22, 29 | 5:30pm – 6:45pm | $75. FULL(contact us to be waitlisted) CREATIVE MOVEMENT (for dancers ages 2-4) SESSION I: July 11, 18, 25 & August 1 | 5:30pm – 6:15pm | $45. FULL (contact us to be waitlisted) SESSION II: August 8, 15, 22, 29 | 5:30pm – 6:15pm| $45. FULL(contact us to be waitlisted) I give The Floor Dance Company permission to take photos and videos of my child for promotional use. Photos and videos may be used on The Floor website, Facebook, Instagram, Twitter, YouTube, the television display, and other social media websites. PAYMENT INFORMATION. Deposit (Summer Intensives and Kids Camp): $100. to hold space, due by June 1st, 2023.Balances due by July 1st, 2023. Payments may be made via cash, check, Venmo, or credit card (service fees apply). Checks should be mailed directly to:The Floor Dance Company812 Monroe AvenueRochester, NY 14607 Please choose your payment method below. I prefer to pay via cash/check. I prefer to pay via credit card. Please invoice me (service fees apply). I prefer to pay via Venmo. How did you hear about us? * I am a current studentFriend/FamilyInstagramFacebookOnline SearchAdvertisementOther Additional comments: SUBMIT REGISTRATION