Registration
Hip Hop Dance Camp AGES 7-10 | Monday, July 17th - Thursday, July 20th | 9am-12pm | $220 TOTAL | $50 deposit due at time of registration. | REGISTRATION CLOSES JULY 3RD | Remainder of payment due July 3rd | This will register you for all 4 days of camp.
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
 
Additional Information:
 
 
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:*