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WHEN: Monday 7/17 Tuesday 7/18 Wednesday 7/19 Thursday 7/20
WHERE: Bloom Health & Fitness (Aerobics room &
Studio)
TIME: 10:00am – 11:30am 3-5 year-olds 12:00pm – 3:00pm 6-17
year-olds
WHO: 3-5 year-olds / 6-18 year-olds ***The 6-18 year old age
group will be split into two separate
groups depending on those enrolled.
COST: $60 (ages 3-5) Classes: Ballet, Acro, and Tap $120 (ages
6-17) Classes: Ballet, Contemporary, Acro,
(t-shirt included for both) Jazz, Irish, Hip Hop, & African
WHAT: DanceWorks by Amber instructors will teach the campers
throughout the week. Students will learn dance technique, various
jumps/leap/turns, short combinations,
progressions across the floor, ballet barre work, tumbling, and
a short routine to perform in front of family/friends on the last
day of camp. See sample itinerary.
CONTACT: Please contact AMBER BASSETT: Email:
[email protected]
Phone: 570-468-5471
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SUMMER DANCE CAMP Please complete and detach this form and send
(including payment & insurance info) to:
BLOOM HEALTH & FITNESS ~ DANCEWORKS BY AMBER Attn: Amber
Bassett
1150 Old Berwick Rd. Bloomsburg, PA 17815
Cash or check accepted. Please make checks payable to:
DanceWorks by Amber
REGISTRATION DEADLINE: MONDAY, JULY 3, 2017 Participant’s name:
___________________________________ Grade (2017-2018): ____
Parent’s Guardian’s name: _________________________________________
Contact information: Home phone _________________________ Cell
phone _________________________ Work phone
_________________________ Email:
_____________________________________ (for registration
confirmation & updates) Emergency contact information (in the
event that we are unable to reach you): Emergency contact name:
___________________________________ Emergency contact phone number:
___________________________________ Emergency contact phone number
(alternate): ___________________________________ ***Please circle
T-SHIRT SIZE: Youth SMALL (4-6) Youth MEDIUM (8-10) Youth LARGE
(12-14) Adult SMALL Adult MEDIUM
******************************************************************************************
WAIVER & RELEASE FORMI, ______________________________ allow
my child, ______________________________ to participate in
Parent/Guardian Name Participant’s Name the DanceWorks by Amber
Summer Dance Camp. I understand that in any athletic activity
accidents can happen. In the event my child is injured, I release
DanceWorks by Amber, LLC, Amber Bassett, and staff from any and all
liability. I understand that my child will be taught in safe
progressions; however, there is always a risk involved with this
type of activity. INSURANCE INFORMATION: Please copy insurance
info. Include in envelope with this form & payment.
***If you are a current DanceWorks student, I will not need your
insurance information.
Confirmation of registration will be sent via email once
registration form, payment & insurance info are received.
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SUMMER DANCE CAMP ITINERARY 7/17 à 7/20
Ages 3-5 from 10:00-11:30am Ages 6-17 from 12:00-3:00pm
Studio Teacher Aerobics Room Teacher 7/17 10:00-10:30 Ballet
(3-5) 10:30-11:00 Acro (3-5) 11:00-11:30 Tap (3-5) 12:00-12:45 Acro
(12-17) 12:45-1:30 Acro (6-11) 1:30-2:15 Jazz (12-17) 2:15-3:00
Contemporary (12-17) 7/18 10:00-10:30 Ballet (3-5) 10:30-11:00 Acro
(3-5) 11:00-11:30 Tap (3-5) 12:00-12:45 Ballet (12-17) 12:45-1:30
Ballet (6-11) 1:30-2:15 Jazz (12-17) 2:15-3:00 Contemporary (12-17)
7/19 10:00-10:30 Ballet (3-5) 10:30-11:00 Acro (3-5) 11:00-11:30
Tap (3-5) 12:00-12:45 Acro (12-17) 12:45-1:30 Acro (6-11) 1:30-2:15
Hip Hop (12-17) 2:15-3:00 Leaps/Turns (12-17) 7/20 10:00-10:30
Ballet (3-5) 10:30-11:00 Acro (3-5) 11:00-11:30 Tap (3-5)
11:30-11:45 PERFORMANCE 12:00-12:45 Ballet (12-17) 12:45-1:30
Ballet (6-11) 1:30-2:15 Hip Hop (12-17) 2:15-3:00 Leaps/Turns
(12-17) 3:00-3:15 Review (12-17) 3:15-3:30 Review (6-11) 3:30
PERFORMANCE in studio
Jess Jess Amber Amber/Autumn Amber/Autumn Amber Amber Amber
Amber Kim Kim Kim Amber Amber Jess Jess Amber Amber/Autumn
Amber/Autumn Erin Krystal Amber Amber Kim Kim Kim Erin Krystal
7/17 12:00-12:45 African (6-11) 12:45-1:30 African (12-17)
1:30-2:15 Jazz (6-11) 2:15-3:00 Contemporary (6-11) 7/18
12:00-12:45 African (6-11) 12:45-1:30 African (12-17) 1:30-2:15
Jazz (6-11) 2:15-3:00 Contemporary (6-11) 7/19 12:00-12:45 Hip Hop
(6-11) 12:45-1:30 Irish (12-17) 1:30-2:15 Irish (6-11) 2:15-3:00
Leaps/Turns (6-11) 7/20 12:00-12:45 Hip Hop (6-11) 12:45-1:30 Irish
(12-17) 1:30-2:15 Irish (6-11) 2:15-3:00 Leaps/Turns (6-11)
3:00-3:15 Review (6-11) 3:15-3:30 Review (12-17) 3:30 PERFORMANCE
in studio
TBA TBA Lexi Krystal TBA TBA Lexi Krystal Lexi Jess Jess Krystal
Lexi Jess Jess Krystal
PERFORMANCE: 3-5 year-olds (11:30am) / 6-17 year-olds (3:30pm)
*Parents/Guardians are welcome!
(3-5), (6-11), (12-17): indicates age groups
These are tentative. They depend on the ages enrolled.
***THIS ITINERARY IS SUBJECT TO CHANGE***
