REGISTER FOR 0UR WINTER CAMPS!

Please fill out the registration form below. Registration is not complete until a payment method has been received. A staff member will reach out if there are any questions or concerns with your registration.

Please select the winter camp(s) you are registering for.

If registering more than one student, please fill out a registration form for each individual student.

Ice Princess & Jack Frost (January 2, 2025)

Winter Wonderland (January 3, 2025)

Please select either half-day or full-day attendance.

Student Name

First Name

Last Name

Gender

Gender Description

(If applicable)

Ethnicity

White Caucasian

African American

Hispanic/Latino

Asian

Middle Eastern

Native American

Other

Student Birth Date

YYYY

Parent Email

Home Phone

(###)

###

####

Parent Cell Phone Number for SMS Communication

You can opt out of receiving SMS communications by getting in contact with the school director or school business manager.

(###)

###

####

Student Email (Optional)

Student email address will be used for communication purposes only.

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address

Please fill this out if your billing address is different from your mailing address.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent or Guardian #1

First Name

Last Name

Parent or Guardian #1 Occupation & Employer

Parent or Guardian #2

First Name

Last Name

Parent or Guardian #2 Occupation & Employer

Emergency Contact

First Name

Last Name

Emergency Contact Relationship

Emergency Contact Phone Number

(###)

###

####

How did you hear about EDD?

Please select a payment method

By selecting CC on file below (a 3% service fee will be charge for all credit card charges), you are authorizing EDD to run your card from Sept 1-June 1. A staff member will reach out to finish your registration only if you need to update or add a form of payment.

By typing my name, I am agreeing to the liability terms listed below

I understand and agree that in participating in any dance class, workshop, rehearsal or performance, there is a possibility of physical injury or death. I voluntarily agree, therefore, to assume all risks and responsibility for any such injury or accident, which might occur to me or my child during any of the School of Eisenhower Dance Detroit classes, rehearsals, performances, or activities. I also exempt, release, and indemnify Eisenhower Dance Detroit, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students from any and all liability claims, demands, or causes of action whatsoever from any damage, loss, injury, or death to me, my children, or property which may arise out of or in connection with participation in any classes or activities conducted by the school of Eisenhower Dance Detroit. I further hereby voluntarily agree to waive my rights and that of my heirs and assigns to hold Eisenhower Dance Detroit, its owners, agents, volunteers, assistants, employees, guest artists, faculty members, and/or students liable for such damage, loss, injury, or death. I understand that I should be aware of my physical limitations and agree not to exceed them. If I am signing this waiver for my children, I certify that I am the parent or legal guardian and have the right to waive these rights.

By typing my name, I am agreeing to EDD's email communication and policy

The majority of communications from our schools comes via e-mail. I understand that it is my responsibility as the parent, to confirm that my e-mail on file is correct. If my e-mail changes, I will verify my new e-mail in writing with the school director and business manager.

By typing my name, I am agreeing to EDD's photography policy below

Permission is granted to The School of Eisenhower Dance Detroit to use photographs of students for education, presentation, instruction, publicity, or other purposes as determined by Eisenhower Dance Detroit.