Camp Gaines 2026 Registration Form

Name: Soul Line Dance with dani tirrell
Start: 2025-03-29T12:00:00-07:00
End: 2025-03-29T13:00:00-07:00
Location: Wellness Gaines Fitness

Dates: June–August | Time: 9:00 AM – 2:00 PM

Location: Wellness Gaines Fitness, Renton, WA

Ages: 6-12

Welcome!

Thank you for your interest in Camp Gaines 2025 — where movement meets mindfulness and learning turns into fun! Our summer program is designed to keep kids active, engaged, and supported in a positive, structured environment.

Please fill out the form below to register and submit payment. Spots are limited and confirmed only once payment is received.

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Welcome!

Thank you for your interest in Camp Gaines 2026 - where movement meets mindfulness and learning turns into fun! Our summer program is designed to keep kids active, engaged, and supported in a positive, structured environment.

Please fill out the form below to register and submit payment. Spots are limited and confirmed only once payment is received.

Pricing & Discounts

$200/week Standard Rate (After June 1)
$140 for the 4-day week: June 29 - July 3
Payments are non-refundable
All campers must bring their own nut-free lunch and water bottle daily

You will select your week(s) below and complete payment at the bottom of this form.

Parent/Guardian Information

First name

Parent/Guardian First Name

Last name

Parent/Guardian Last Name

Email

We’ll send all confirmation details and updates here.

Phone

Best number to reach you in case of questions or emergencies.

Address

Camper Information

Child’s Full Name

First and last name of the camper you’re registering.

Date of Birth

What grade will your child be in Fall of 2026?

T-Shirt Size

Additional Child Information (Optional)

Add the name(s), age(s) and T-shirt size(s) of any additional siblings you'd like to register.

Camper Needs & Safety

Allergies, Medical Conditions, or Medications?

Please list any food allergies, medical needs, or anything our staff should know.

Any Special Needs, Accommodations, or Notes?

Any specific needs, preferences, or info you'd like to share?

Emergency Contact Name

Emergency Phone Number

Relationship to Camper

Authorized Pick-Up List (Full Name & Relationship)

List up to 3 names (must show photo ID at pickup)

Waiver + Terms Agreement

I understand that my payment is non-refundable and secures my child’s place for the selected week(s) of Camp Gaines.

I understand that camp hours are from 9:00 a.m. to 2:00 p.m. and agree to drop off my child no earlier than 8:50 a.m. and pick up promptly by 2:00 p.m.

I understand that late pickups will result in a fee of $1 per minute after 2:05 p.m., billed to the parent/guardian. After 2:20 p.m., if the child has not been picked up, emergency contacts will be called.

I understand that my child must bring their own nut-free lunch and a water bottle each day.

I understand that disruptive or unsafe behavior may result in my child being dismissed from the program, and that no refunds will be given in such cases.

I give permission for Wellness Gaines staff to apply basic first aid (e.g., Band-Aids, ice packs) if needed. In case of emergency, I authorize staff to contact 911 and administer necessary aid until I arrive.

I agree to receive communications from Wellness Gaines regarding this registration. I authorize Wellness Gaines to communicate with me via email or phone regarding camp updates.

I confirm that only the listed individuals are authorized to pick up my child, and that a valid photo ID is required at pick-up.

Week Selection & Payment

Select Your Camp Week(s):

Week 1: June 22–26$200

Week 2: June 29–July 3$140

Week 3: July 20-24$200

Week 4: July 27-31$200

Week 5: August 3-7$200

Week 6: August 10-14$200

Signature

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Full Name

Soul Line Dance with dani tirrell

Sat, Mar 29

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Wellness Gaines Fitness

Join us Saturday, March 29 for an energizing Soul Line Dance session at Wellness Gaines Fitness. One hour of movement, music, and community — all for $25. No experience needed, just bring your joy!

Tickets are not on sale

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Time & Location

Mar 29, 2025, 12:00 PM – 1:00 PM PDT

Wellness Gaines Fitness, 17110 116th Ave SE Unit A, Renton, WA 98058, USA

About the event

Step into the rhythm and groove of Soul Line Dance with acclaimed choreographer, dancer, and movement guide dani tirrell. This dynamic class is designed for movers of all levels — whether you're stepping on the dance floor for the first time or returning to deepen your practice.

Together, we’ll build upon foundational line dance movements, exploring the names, structures, and unique styles that shape this vibrant tradition. Students will learn both classic and contemporary steps, refining technique while embracing the communal and cultural spirit of line dancing.

In this class, dani will guide us through two high-energy favorites that highlight the creativity and soul of this movement:

✨ Come Dance with Me (Tamia Line Dance)

✨ Boots on the Ground (Trailriders Version)

You’ll leave feeling empowered, connected, and full of joy.

About dani tirrell

dani tirrell (they/them) is a nationally recognized choreographer, dancer, and movement artist whose work centers Black identity, community, and storytelling. A recipient of Seattle’s 2019 Mayor’s Arts Award, Dani has shared their practice across the U.S., including Detroit, Seattle, Washington D.C., and beyond.

dani currently serves as the Artistic Director of Central District Forum for Arts & Ideas in Seattle and is the founder of The Congregation — a movement-based performance ensemble dedicated to stories from the African Diaspora.

Their work has been commissioned by Seattle Theater Group, On the Boards, and Velocity Dance Center, among others, and recognized by fellowships from Arts Matter, Artists Trust, 4Culture, and the 2023 NEFA National Dance Project Grant.