performing arts centers in quincy (217) 222-6857
info@vancildance.com
dance studios in quincy illinois
Winter Camps

Winter Schedule 2018

 

 

First Name:*     Last:*

Parents name:*    Birthdate:    Current Age:

Home Phone #     Cell Phone #:

Emergency contact:

Emergency contact phone#:

Address:

City:      State:     Postal Code:

Email:*

Notes:

Medical Conditions:


How did you hear about us?

Radio    TV    Email    Yellow Pages    Facebook/Social Media
the Internet   Newspaper    Brochure   Sign
    Referred by
Other:

 * = Required items

Select classes from the list below and then click the submit button at the bottom.

Winter Camps

Winter 2018
Fairytale Tumble - Saturday, February 3rd, 10am to 11am
Cost 15.00
Star Wars Tumble - Saturday, February 3rd, 10am to 11am
Cost 15.00

By checking this box, I state that I have read, and agree with, the policies of Vancil Performing Arts:
 

Parent/Guardian name:       Date:

NOTE: After you click the Register button below, you will be taken to our Online Payments page.

 

Click the box above and then click the Register button below

Vancil Performing Arts Center
(217) 222-6857  •  (877) 206-0736  •  info@vancildance.com