Camp Payments

Program Week

Mandatory field Which week would you like to attend?*

(If you would like to attend more than one week, please submit this form again for each week as a separate item in your online shopping cart.)

Attendees

Mandatory field Your name (or name of primary registrant, if different):*

Names of any other people you are registering: (please include ages for anyone under 18)

Scholarships

I am also submitting a scholarship application form.

Acknowledgement of Camper Responsibility

I have read the Acknowledgement of Camper Responsibility, Express Assumption of Risk, and Waiver of Liability for Country Dance and Song Society 2013 Camp Weeks in its entirety and as a fully competent adult of at least eighteen (18) years of age, I freely and voluntarily assume all risks of such injuries and damages. Notwithstanding such risks and disclosures, I agree to participate in the Camp.

Please fill in the following information (required)

Mandatory field Name of Adult Camper:*	Mandatory field Birthdate (MM/DD/YYYY)*
Mandatory field Signature (by typing your name you are signing)*	Mandatory field Today's Date (MM/DD/YYYY)*

If you are a minor (under age 18), your parent or legal guardian must sign this Agreement on your behalf.
I hereby agree and consent to the foregoing Agreement on behalf of the minor below.

Name of Minor Camper:	Birthdate (MM/DD/YYYY)
Name of Minor Camper (2):	Birthdate (MM/DD/YYYY)
Name of Minor Camper (3):	Birthdate (MM/DD/YYYY)
Name of Minor Camper (4):	Birthdate (MM/DD/YYYY)
Parent or Guardian Signature (by typing your name you are signing)	Today's Date (MM/DD/YYYY)

Payment

Please submit a deposit of $150 per person.

Mandatory field Number of $150 deposits:*

Registration Process

We will be in touch in early April after processing all registrations received by March 25 (March 18 for special courses). If your chosen week is oversubscribed at that time, a lottery will be held, in which CDSS members will receive priority. Please see the Registration page for more details about our process.

If you are not currently a CDSS member, you may wish to add a membership payment to your cart.

Please consider adding a donation in support of Scholarships with your camp payment!

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