Dancer's Last Name
First Name
Last Grade Completed
Birthdate (mm/dd/yy)
T-Shirt Size
(click here to see chart )
Home Phone
Cell Phone
Address
City, State
Zip code
Week of Camp
Any allergies or special instrucions
Name(s) of Parent(s)
Parent Email
After submitting you should receive an
email confirmation within a week.

Fill in the form below and click to submit... then MAIL your payment to:
Cassie's Dance Camp
8202 Silver Circle
Ventura, CA 93003
.

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