SESSION 1: JUNE 12-GIRLS HIP HOP; AGES 10 AND UP; SAT, 9-NOON AND 1-3; BRING BAGGED LUNCH
SESSION 2: JUNE 21-25TH-AGES 3-5; 9-NOON; SNACK AND WATER PROVIDED
SESSION 3: JUNE 21-25TH-AGES 6-9; 1-4; SNACK AND WATER PROVIDED
SESSION 4: JULY 17TH LADIES WORSHIP DANCE; SAT, 9-NOON AND 1-3; BRING BAGGED LUNCH
SESSION 5: JULY 24TH, ADVANCED WD WORKSHOP; AGES 10 AND UP; SAT, 9-NOON AND 1-3;BRING BAGGED LUNCH
SESSION 6: AUGUST 7TH, BOYS HIP HOP; AGES 8 AND UP; SAT, 9-NOON AND 1-3; BRING BAGGED LUNCH

MONDAY-FRIDAY SESSIONS: $55.00 ................SATURDAY SESSIONS $45.00

*FAMILY AND GROUP DISCOUNTS*

NAME: __________________________________________ AGE: ___________

CAMP SESSION__________________________________________________

ADDRESS__________________________________________________________________________

EMAIL ADDRESS______________________________________________________________________

CELL PHONE OR OTHER PHONE NUMBER_________________________________________________

PARENT/GUARDIANS' NAME(S) __________________________________________________________

SPECIAL INSTRUCTIONS (SUCH AS FOOD ALLEGIES/DIABILITIES/ETC.)_______________________________________________________________________

TO COMPLETE THIS FORM, INITIAL STATEMENT BELOW:
____ I UNDERSTAND THAT THE 5.00 DEPOSIT IS NON-REFUNDABLE. I WILL NOT HOLD RIVER OF GOD WORSHIP CENTER OR THE TEACHERS RESPONSIBLE FOR ANY INJURY SHOULD IT OCCUR DURING THE COURSE OF CAMP.