Summer Registration Form

Welcome to
DIP Summer
Dance Camp 2024
Registration

Ages 5-13 years

July 1, 2024- August 9, 2024

Monday - Thursday

9:00am - 3:00pm
- A non-refundable registration fee of $50 (includes camp shirt and backpack) is due at the time of registration to secure your spot.
- Once you submit this form, you'll be directed to our secure online payment portal to complete your registration.
- Please note: Full payment for the camp is due by the specified dates.
- By registering, you acknowledge that all fees paid to DIP are non-refundable.
_{STUDENT INFORMATION}
Dancer's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
T-Shirt size*
Mailing Address*

Street Address Line 1

Street Address Line 2

CityState

Zip Code
Age as of July 1, 2024*
Parent/Guardian Name*

First NameLast Name
Primary Phone/Cell*
Main number to be reached
Secondary Phone/Cell
E-mail Address*
example@example.com
Emergency Contact*
Name
Contact Number*
Please enter a valid phone number.
Relation to Dancer*
Summer Camp Fees 2024

Note: Full payment for camp is due by the specified dates.
6 Weeks = $900 total:

$50.00 Registration Fee (Due at time of Registration)

$425 due by 6/30

$425 due by 7/21
Pick Up & Drop Off
Regular drop-off time is between 8:45am-9:00am
and pick-up time is between 3:00pm-3:15pm.

Any camper dropped off or picked up outside of the 15-minute grace period will be charged a daily before or aftercare fee of $15 for each occurrence.

Before/After Care Available

Before care - $25.00 (7:30am-9am)

After care - $25.00 (3pm - 5:30pm)

Combo: Before/aftercare - $40.00

**Payment due at the beginning of each week
Will you need before care*
Will you need aftercare*
Tell Us About Your Camper!!
Medical Information
List any allergies:*
Please list. Write NONE if Not Applicable.
Will your dancer require any special medical attention during a normal class?*

NoYes
If yes, please explain:
Does your child require any additional support or accommodations for behavioral or focus-related challenges during their time at summer camp?*

No, my child thrives in a variety of environments.Yes, my child would benefit from some additional support. (Please specify in comments)Yes, we have a plan in place to support [focus/behavior] challenges. (Please specify in comments)
Comments:
What are some of your camper's strengths and what might present as challenges for them during camp?*
DIP Studios, LLC Legal Release, Rules, Fees and Policy Acceptance PDF
Use scrollbar and read the entire document. Sign and agree to all terms, policies and conditions below. DOWNLOAD or PRINT this PDF for your records. (Top right of document and hit down arrow to save to your device or print.) This is current for DIP Summer Camp 2024 as of now.
- I/we understand the studio policies
- I/we understand the billing obligations
- I/we understand the risks related to dance
- I/we understand my responsibilities for my property
- I/we understand the dress code
- I/we understand the schedule
- I/we give media use rights permission
- I/we understand the attendance policy
- I agree my dancer understands and agrees to what is expected of them as
- pertaining to all policies and procedures
- I have read and saved a copy of the above DIP Policy PDF for my reference.
Signature of Parent/Guardian*

Clear
Any questions or additional information?
PLEASE NOTE: Once you submit this form, you'll be directed to our secure online payment portal to complete your registration.
Please verify your entry*
DIP STUDIOS, LLC
Dance Institute of Philadelphia
3251 Fox Street, Philadelphia, PA 19129
215-416-7368
DIPstudiosLLC@gmail.com
www.DIP5900.com
2024 DIP SUMMER REGISTRATION FORM

SUMMER - DIP STUDIOS, LLC - ONLINE REGISTRATION
Should be Empty:

STUDENT INFORMATION

DIP Studios, LLC Legal Release, Rules, Fees and Policy Acceptance PDF

2024 DIP SUMMER REGISTRATION FORM

_{STUDENT INFORMATION}