Registration

Hip Hop Audition Sign Up for Ages 8-12
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: *
Emergency Contact Info
(Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Date of Birth*
How long have you been dancing?*
Where have you studied?*
What do you hope to gain from belonging to THE INDUSTRY Crew?*
 
Additional Information:
 
Tuition Agreement
  (Show-Hide Details)
I've read the above and agree.
 
Liability Waiver
  (Show-Hide Details)
I've read the above and agree.
 
Photo/Video Release
  (Show-Hide Details)
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments: