Youth Camp Registration

Please complete this form to pre-register your child for Simply Ballroom’s Youth Ballroom Dance Camp.

Parental/Guardian’s Agreement

I approve of my son’s/ daughter’s attendance at Simply Ballroom Dance Camp. I recognize the risk inherent with my child’s participation in this camp. I assume full responsibility for all injuries that may arise from his/ her physical or emotional limitations. I unconditionally release Simply Ballroom and its employees from any and all liability or claims that might result from my child’s participation in this camp unless the injury or damage is primarily the direct result of negligence on the part of Simply Ballroom or any of its employees and not caused in part by my child’s own negligence. By registering my child I acknowledge that I have read and understand these conditions. Standard Photo and Video Release Form for Minor Children. I hereby authorize Simply Ballroom to publish the photographs and videos taken of me and/or the undersigned minor children, and our names, for use in the Simply Ballroom’s printed publications, website and training purposes. I release Simply Ballroom from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize Simply Ballroom to use their photographs, videos and names. I acknowledge that since participation in publications and websites produced by Simply Ballroom is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by Simply Ballroom confers no rights of ownership whatsoever. I release Simply Ballroom, its contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children.

Register Your Child

The registration fee is $20 per child. Please complete the form, below. You will be taken to PayPal for payment. After we receive payment your child will automatically be registered. Please read the parent information page to help answer more questions about camp. If you still have questions, please contact Simply Ballroom by email at simply.ballroom@gmail.com.