REGISTRATION FORM

GIRLS HIP HOP	JUNE 11th- ...... Saturday Workshop, 9am to noon
WEE WORSHIP CAMP	JULY 11th - 15th ..... 9am to noon
GIRLS CAMP, AGES 5-7	JULY 18th - 21st .... 9am to noon
GIRLS CAMP, AGES 8-10	JULY 18th - 21st .....1:00 pm to 4:00 pm
BOYS HIP HOP	AUGUST 6th, Saturday, 9:00 - noon (TENTATIVELY)
Advanced Worship Dance, AGES 11-UP	JULY 16th, 9-noon and 1-3pm For those with prior dance training. Taught by Andrea Logan. Cost is $40 plus a $5.00 registration due by July 1st
	MONDAY-FRIDAY SESSIONS: $60.00 .... SATURDAY SESSIONS $30.00 *FAMILY AND GROUP DISCOUNTS*

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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.