Dance Like No One Is Watching Registration

Thanks to our sponsors - DSAMT, Pujols Family Foundation, Christ Church YMCA and world champion dancer and instructor Pierre Dulaine, this extraordinary camp is offered FREE of charge to individuals with Down syndrome and their siblings ages 5 and up. Advanced registration for each participant is required.

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* 1. Please tell us about the person you are registering:

Name:

Address:

City/Town:

State:

ZIP:

Age:

Email Address:

Phone Number:

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* 2. Which session are you registering this dancer for?

9:15 am – 10:15 am AGES 5-9

10:30 am – 11:30 am AGES 10-13

12:15 pm – 1:15 pm AGES 14-17

1:30 pm – 2:30 pm AGES 18-22

2:45 pm – 3:45 pm AGES 23+

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* 3. Does this person have Down syndrome or are they a sibling?

Has Down syndrome

Is a sibling

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* 4. Please describe any special considerations or concerns that may be helpful to our staff and volunteers (e.g. behavioral, medical, elopement, allergies, etc.):

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* 5. Please provide an emergency contact and information.

Name: *

Relation to Guest: *

Email Address:

Best Phone Number: