CAMP

Summer

Dance& Drama

Dance& Drama

The Park District’s Summer Dance & Drama Camps start soon! Classes are available for beginners to advanced, preschool to adult. Ballet, jazz, tap, hip-hop, lyrical and drama classes will be offered in 4-week sessions. Registration may be completed online (decatur-parks.org) or at the DISC, 1295 W. Wood.Fee: $30 Resident/$35 Non-ResidentLocation: PARC, 2020 N. Oakland or DISC, 1295 W. WoodRegistration Deadline: June 22

RegisterOnline!

Online Registration! Stop by the DISC to complete the Web Registration Enrollment Form to begin your online registration access! www.decatur-parks.org

Intro to Dance (June 25 - July 19) Intro 3 yr. (age 3); 472501-21 Thursday, noon - 12:30 p.m.; DISC Intro 4 yr. (age 4); 472501-22 Monday, 9 - 9:30 a.m.; DISC

Tap (June 25 - July 17) Kinder-Tap (ages 5 - 6); 472505-49 Tuesday, 1:15 - 2 p.m.; DISC Tap, Gr. 1 - 4 (ages 6 - 10); 472505-50 Tuesday, 2 - 3 p.m.; DISC Tap, Gr. 5 - 8 (ages 9 - 13); 472505-51 Monday, 11 a.m. - noon; DISC Co./Adv. Tap* (ages 12 - 18); 472505-52 Monday, 10 - 11 a.m.; DISC Young at Heart (age 40+); 472505-53 Tuesday, 10 - 11 a.m.; DISC Adult Tap/Jazz Combo (age 18+); 472505-54 Tuesday, 6:30 - 8 p.m.; PARC

Lyrical (June 25 - July 19) Grades 5th - 8th (ages 10 - 13); 472516-17 Monday, 10 - 11 a.m.; DISC Co./Adv. Lyrical* (ages 12 - 18); 472516-18 Monday, 11 a.m. - noon; DISC Modern (ages 12 - 18); 472516-19 Thursday, 9 - 10 a.m.; DISC* Instructor approval required

Drama (June 22 - July 19) Pre-School (ages 3 - 4); 492102-59 Thursday, 12:30 - 1 p.m.; DISC Pre-K (age 4); 492102-58 Monday, 9:30 - 10 a.m.; DISC K - 2nd Drama (ages 5 - 8); 492102-60 Friday, 9 - 10 a.m.; PARC 3rd - 5th Drama (ages 8 - 11); 492102-61 Friday, 10 - 11 a.m.; PARC 6th - 9th Drama (ages 11 - 14); 492102-62 Friday, 11 a.m. - noon; PARC

Jazz/Hip-Hop (June 25 - July 19) Kinder-Jazz (ages 5 - 6); 472504-12 Monday, 1:45 - 2:30 p.m.; DISC Grades 1st - 4th (ages 6 - 10); 472517-12 Monday, 2:30 - 3:30 p.m.; DISC Grades 5th - 8th (ages 8 - 13); 472517-13 Thursday, 11 a.m.- noon; DISC Tricks & Leaps (ages 12 - 18); 472517-14 Thursday, 10 - 11 a.m.; DISC

Ballet (June 25 - July 17) Kinder-Ballet (ages 5 - 6); 472506-41 Monday, 1 - 1:45 p.m.; DISC Ballet, Gr. 1 - 4 (ages 6 - 10); 472506-42 Tuesday, 1 - 2 p.m.; DISC Ballet, Gr. 5 - 8 (ages 10 - 13); 472506-43 Tuesday, 11 a.m. - noon; DISC Co./Adv. Ballet* (ages 12 - 18); 472506-44 Tuesday, 9 - 10:15 a.m.; DISC Pointe I* (ages 12 - 18); 472506-45 Tuesday, 10:15 - 11 a.m.; DISC

Participant Name: Parent/Guardian Name:

Participant Info: □ Male □ Female Birthdate: Age: Grade: School:

Address: City: Zip Code:

Home Phone: Work Phone: Email: Visa MasterCard Discover American Express Card #:

CVV#: Exp.: Signature:

Registration Form

In accordance with the Americans with Disabilities Act, does registrant require any special accommodations or assistance for enjoyment of the program? Yes [ ] No [ ] If yes, please describe: __________________________________________________________________________________________

PHOTO: I understand that my child/ward or I may be photographed or videotaped while participating in a Decatur Park District program. I give permission for photos and videotapes of my child/ward or me to be used to promote the Park District. Such photos and videotapes will remain the property of the Decatur Park District.WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISKPlease read this form carefully and be aware that in signing up and participating in this program(s), you will be expressly assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which you or your minor child/ward might sustain as a result of participating in any and all activities connected with and associated with this program(s) (including transportation services and vehicle operations, when provided).

I recognize and acknowledge that there are certain risks of physical injury to participants in this program(s), and I voluntarily agree to assume the full risk of any and all injuries, damages or loss, regardless of severity, that my minor child/ward or I may sustain as a result of said participation. I further agree to waive and relinquish all claims I or my minor child/ward may have (or accrue to me or my child/ward) as a result of participating in this program(s) against the Decatur Park District, including its officials, agents, volunteers and employees (hereinafter collectively referred as “Decatur Park District”).

I do hereby fully release and forever discharge the Decatur Park District from any and all claims for injuries, damages, or loss that my minor child/ward or I may have or which may accrue to me or my minor child/ward and arising out of, connected with, or in any way associated with this program/activity.

I have read and fully understand the above waiver and release of all claims and assumption of risk. If registering on-line or via fax, my on-line or facsimile signature shall substitute for and have the same legal effect and an original form signature.

Signature _______________________________________________________________________________ Date ___________________ (18 years or older or Parent/Guardian)NOTE: The Decatur Park District does not carry medical or accident insurance for its participants. The cost of such insurance would make programs cost prohibitive. We suggest that you look at your own insurance policy to be sure you are adequately

covered. The Park District assumes no responsibility for personal injuries or loss of personal property.