Summer Camp Registration

Summer Camp Enrollment Form

* Indicates required field

Parent/Guardia Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone Number *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Camper's Name *

First

Last

Camper's Age *

Emergency contact Name *

Emergency contact Name Phone Number *

Weeks Attending *

Is Camper a current or new student *

New Student Current Student

Conditions, Acceptance and Waiver
Responsible party and/or the student understands that students may be injured during the course of training or during an event at Alouettes Academy.
Responsible party and/or the student hereby assume the risk of injury and hereby waives any claim for any and all injuries, including medical expenses, which
may arise as a result of dance training or any incident or accident directly or indirectly arising from any actions related to dance training.
I hereby agree that Alouettes Academy/Alouettes Group Corp. can use pictures and videos of the participant's likeness and waive any and all liability
for the release of pictures and videos in any advertisement for Alouettes Academy/Alouettes Group Corp.
Students and parents pledge to comply with all rules and regulations of the school. We reserve the right to dismiss any student or parent at any
time without a refund of their tuition, for any misconduct and/or failure to follow with school rules and regulations. I'm al least 18 years of age
or more, I have read, understood and agreed to the terms and conditions of this agreement. By signing this agreement, you also agree with additional
terms and conditions listed on the next page.

NOTE:
Tuition Payment is Non-Refundable. Tuition Payments are due the last camp day of the prior week (Friday) when choosing weekly option.

Electronic Signature *

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