SUMMER 2025 REGISTRATION

Parent/Guardian #1 Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Parent/Guardian #2 Name

First Name

Last Name

Phone

(###)

###

####

Emergency Contact Name *

First Name

Last Name

Phone *

(###)

###

####

Dancer #1 Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Choose Summer Programs

Summer Sampler Dance Camp Level One

Summer Sampler Dance Camp Level Two

Royal Dance Camp

Acro Intensive Level One

Acro Intensive Level Two

Technique Bootcamp Level One

Technique Bootcamp Level Two

Summer Tech Classes - Drop In

Summer Tech Classes - 4 Week Pass (Unlimited Classes)

Dancer #2 Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Choose Summer Programs

Summer Sampler Dance Camp Level One

Summer Sampler Dance Camp Level Two

Royal Dance Camp

Acro Intensive Level One

Acro Intensive Level Two

Technique Bootcamp Level One

Technique Bootcamp Level Two

Summer Tech Classes - Drop In

Summer Tech Classes - 4 Week Pass (Unlimited Classes)

Choose Payment Method *

Pre-Authorized Debit

Credit Card (incurs 3.8% processing fee)

Post-Dated Cheque (made out to VIREO)

Funding (JumpStart, KidSport, school organization, etc.)

I HAVE READ AND AGREE TO THE SPORTS INJURY WAIVER *

I AGREE

I HAVE READ AND AGREE TO THE SOCIAL MEDIA WAIVER *

I AGREE

I HAVE READ AND AGREE TO THE 2025/26 STUDIO POLICIES *

I AGREE