KMDC Summer Dance Camp 2025 Registration

Register for the KMDC Summer Dance Camp! The summer camp will take place at Petersham town hall, 1 S Main St, Petersham, MA 01366.

A $100 deposit is required to reserve your spot in class or camp. This deposit is non-refundable and will be applied toward your total balance.

If your dancer needs a dance uniform/outfit please fill out an order form.

Participants First name

Participants Last name

Participants Email

Participants Phone

Participants Birthday

Month

Day

Year

When will you be attending our summer camp?

July 14th - July 18th

August 11th - August 15th

Are you going to be attending a full or half day?

Full, 9 am - 4 pm

Half, 9 am - 12:30

Contact for extended days / hours

Emergency Contact Information

Emergency Contacts First Name

Emergency Contacts Last Name

Emergency Contacts Email

Emergency Contacts Phone Number

Does the participant have any allergies or medical conditions we should be aware of? If so, please specify

What is the participants primary physicians full name?

What is the participants primary physicians contact number?

Is there anything else we should know?