Registration

Already a customer? Click here to login.

You have registered for the Peewee Hip Hop Camp Waitlist. If a spot opens for this camp, we will reach out to see if you still want this spot. No charge is made until you let us know that you want the spot.

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *

Students entered below will be added to your family's account

Add New Student #1:

(Show-Hide Details)

	Student's First Name: *	Last Name: *
	Student: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:	Grade Level:*
	Allergies:
	Medications (Leave blank if NONE):
	Previous ROOTS Dancer?:*
	Current ROOTS Music Student?:*

Additional Information:

Waitlist policy

(Show-Hide Details)

I've read the above and agree.

Enter your Full Name: