Summer Camp Interest form — Shambhala Yoga & Dance Center

Contact Information

Child Name

First Name

Last Name

Child Age & Grade

Child Current School

Child Name #2 (if enrolling multiple children)

First Name

Last Name

Child #2 Age & Grade

Child 2 Current School

Parent/Caregiver name

First Name

Last Name

Email Address

Do you have any questions about this program?

Thanks!