Registration Form - 2010 Camp


STEP 1 - Submit Your Information Below

   
name:
address:
       
address 2:
suite, apt
       
city:
state:
zip:
           
phone number:
email address:
date of birth:
   
gender:
tshirt size:
experience level:
 
number of years skating
 
dietary restrictions:
 
how did you hear
about the camp?
   
special requests:
 

skills you'd like to focus on: check all that apply

jumps
spins
edges
choreography
health & fitness
costuming & makeup
body movement
music selection
inside look at skating

 

do you have a solo piece you would like to perform at the final performance?

yes
no

 
please list your LEAST
favorite music to skate to:
(genre, songs, artists)
   
please list your MOST
favorite music to skate to:
(genre, songs, artists)
 

All payments made payable to:
Dorothy Hamill Entertainment, Inc.

Send your deposit of $500 to:
3340 Ocean Park Blvd., Suite 1005
Santa Monica, CA 90405

or pay via PayPal

 
terms & conditions: please review carefully before continuing

I hereby enroll in the 2010 Dorothy Hamill Figure Skating Fantasy Camp and agree to the terms and conditions as outlined below. I agree to pay $3850 ($3650 for early registration). $500 is enclosed as deposit and due upon registration. The second payment is due by March 22nd and the balance is due by July 22, 2010. Any money paid will be refunded in full on cancellations before March 22, 2010, 50% refunded on cancellations prior to July 22, 2010. Money is non-refundable with cancellations after July 22, 2010.

My signature indicates that I understand there are inherent risks in the sport of figure skating and there are risks of bodily injury from my participation in the activities offered by Dorothy Hamill Figure Skating Fantasy Camp and that I agree to release any claim I may have against, and, further agree to indemnify and to hold harmless in all respects, the camp, the camp owners, directors, staff, coaches and other employees with regard to any claims for injuries or damages that may be incurred as a result of participation in said activities.

This application shall be construed and governed by the laws of the state of Massachusetts. Any suit resulting from a dispute arising hereunder shall be pursued by either party only in the appropriate superior court in the county in Massachusetts where the camp is located, or if jurisdiction will so permit, in the Federal District Court. The camp and the undersigned consent to venue and personal jurisdiction in such courts.

 



Please make a selection.
"I Agree" must be selected in order to continue.

 

 

If you have any questions about this form, please email:

fantasycamp@dorothyhamill.com