Summer Dance Camp 2007
Registration Form
Please complete this form online, print and mail it with deposit to Luna Kids Dance, 2640 College Ave., Berkeley, CA 94704. Students are accepted on a first come/first served basis.
Student’s Name:
Camp Dates: (check all that apply)
Summer Dance Camp 9:00-3:00 — Session A: 7/9-13
Summer Dance Camp 9:00-3:00 — Session B: 7/16-20
Summer Dance Camp 9:00-3:00 — Sessions A & B (both weeks)
Teen Choreography Workshop 10:00-4:00: 7/30-8/3
Location: Julia Morgan Center for the Arts 2640 College Avenue, Berkeley
Date of Birth:
Phone No:
Address:
Parent/Guardian Name(s):
E-mail:
5% Sibling Discount
Scholarships & Payment Plans Available — Scholarship Application Form
(Call for more information: 510-644-3629.)
Our goal is to bring dance to all children in ALL of the communities in which we work. Toward that end, we humbly ask for donations that will provide scholarships to children who otherwise would not be able to participate at LKD. Dance transforms. If you would like to donate, please round up your fees anywhere between $1 and $500. 100% of all donations go to scholarships.
Here is my payment: (check one):
my $50 NON-REFUNDABLE deposit for Summer Dance 2007.
my full payment: $285/week or $525 for 2 weeks = $ ________
Sibling Discount
Cost ($_______) – 5% Discount (-$_______) = $___________
List sibling & camp: ______________________________________________
I understand that there are no refunds, transfers, or make-up classes. I understand that I will receive additional forms from LKD and will be responsible for signing and complying with policies therein including paying my balance due before classes begin.
I understand that the full balance is due before July 9 and all scholarship request-letters are due in our office before July 1.
Call us for more information: (510) 644-3629.