1: Registration:

Please complete the registration for to hold your place in Camp Wa-Na-Dance to be held on June 12 (raindate) June 13th. Should weather prohibit the event, the event will be postponed until August or September.

This is the form to sign up for the half day registration: You will choose EITHER afternoon lessons only (1pm-5pm@ $30) or evening entertainment only (6pm-9pm @ $30). Reservations are first come/first serve and will be limited due to Covid restrictions. There will be a waitlist, so even if the event sells out, please register.

2: Payment:

After registering, please go back to the Camp Wa-Na-Dance webpage and find the link for payment. Payment will open on 5/5. Payment must be received by 6/1/2021

Name

First Name

Last Name

Email Address

Level of Experience

Which best describes your level of line dance experience

I understand I am to abide by social distancing guidelines outlined by the NYS Department of Health

I understand I will maintain 6 foot distance during the event

Covid-19 Liability Waiver

The CDC Describes Covid-19 Symptoms as: fever or chills, cough, shortness of breath, or difficulty breathing, fatigue, body aches, head aches, sore throat, congestion or runny nose, vomiting or diarrhea. The list does not include all possible symptoms. Please visit CDC.gov for the most up to date symptom list. Please Read and Initial the following: 1. I understand the above symptoms. 2. I affirm that I, as well as all of my household members do not currently have the above symptoms or experienced the above symptoms in the last 14 days. 3. I affirm that I, as well as all of my household members have not been diagnosed with Covid-19 in the last 30 days. 4. I affirm that I, as well as all of my household members have not knowingly exposed to anyone diagnosed with Covid-19 in the last 30 days. 5. I affirm that I, as well as all of my household members have not traveled outside the country or any city considered to be a “Hot Spot” for Covid-19 within the past 30 days. 6. I affirm that if I, or any of my household members develop symptoms consistent with Covid-19, I will not attend class. 7. I understand that Dancing With Deanna, its owners, representatives or employees cannot be held liable to any exposure to the Covid-19 virus as a result of participation in classes, studio events, workshops, camps or activities.

I'm reserving attendance for:

Half Day Options

Afternoon (1-5pm)

Evening (6-9pm)

Payment

I understand I must pay in full by 6/1 in order to complete my registration

Dancing With Deanna

Dancing With Deanna

CAMP Half Day REGISTRATION

Dancing With Deanna

1 - Register to reserve your slot

2 - Pay by June 1, otherwise your spot will be forfeited.

1: Registration:

Please complete the registration for to hold your place in Camp Wa-Na-Dance to be held on June 12 (raindate) June 13th. Should weather prohibit the event, the event will be postponed until August or September.

2: Payment:

After registering, please go back to the Camp Wa-Na-Dance webpage and find the link for payment. Payment will open on 5/5. Payment must be received by 6/1/2021

Dancing With Deanna