Registration
FUSION Dance Company is composed of dancers grades 7-12 who specialize in hip hop dance and choreography. Through hard work and practice, its members excel in providing high-energy performances packed with innovative style and attitude that is sure to keep their audience on the edge of their seats. The group travels, performa, and compete throughout the Chicagoland area year round, re-auditioning annually in early June
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:
New dancers: do you have hip hop experience? If so, please list your experience/training.*
What grade are you going into next fall?*
 
Additional Information:
 
Waiver & Release of All Claims
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I've read the above and agree.
 
Photo & Video Release
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*