home camp enrollment form

Send in the following to secure your HOME CAMP:

Mail To:

1. Home Camp Enrollment Form (THIS FORM)

B² CHEER & DANCE

2. Non-Refundable/Transferable Deposit ($50 PER CAMPER)

PO BOX 22477

3. Participant Release & Waiver of Liability for each Camper

HOT SPRINGS AR 71903

4. Camp Roster & Cancellation Agreement

B² CHEER & DANCE SUMMER CAMPS 2017

HOME CAMP ENROLLMENT FORM School Name

______

Squad Type (Check One)

CHEER

______

Coach/Contact Name

DANCE _____ School Telephone

Coaches E-Mail

______

______

Cell Phone

Mailing Address____ City_________________________ State ____________________ Zip Code ______________ CAMP DATE:

____________

PLEASE INDICATE SPECIAL REQUEST OR INSTRUCTIONAL AREAS THAT YOU WOULD LIKE EMPHASIZED AT YOUR HOME CAMP (tumbling classes are not offered through our home camps): _____________________________________________ HOTEL INFORMATION: Please list two convenient, moderately priced hotels for our instructor(s). 1. Hotel Name/Address/Telephone: 2. Hotel Name/Address/Telephone: *Confirmation Packet will be sent to coach/contact person listed above via EMAIL once ALL paperwork and deposits are received*

CAMP T-SHIRT SIZES (WRITE # OF SHIRTS BY EACH SIZE, ONE COACHES SHIRT FREE PER TEAM): ___YS

___YM

___YL

___AS

___AM

___AL

___AXL

___AXXL

Non-refundable/transferable deposit is $50.00 per CAMPER. Balance due TWO WEEKS prior to camp.

We are enclosing the following deposits: Total Number of Squad Members

_______ at $50.00 each =

SCHOOL CHECK #____________

TOTAL DUE

$____________

$____________