Xplosive Houston Registration

Xplosive Dance Company Houston

Registration Form
Welcome To Xplosive Dance Company Houston!!!! We are sooo excited that you are interested in being apart of our dance team. Below you will find our registration form. Please fill out the form in its entirety. Thank you 😊
Which group are you interested in?

XDC Houston Showcase TeamXDC Houston Competitive Team
Student Name*

First NameLast Name
Student’s DOB*

MonthDayYear
Date
Gender
Student's age at time of registration *
Student's Grade for the 2024-2025 School Year*
Has your child ever dance before*

YesNo
If yes, what team?
Dancer Skill Level*

BeginnerIntermediateAdvanced
Does your child have allergies, chronic illnesses, or any medical conditions that would limit their ability to participate in dance?

YesNo
Important Information

Please Read Carefully!!!

Fees:

One-Time Reg Fee: $40

Due to limited space, registration fee is due at the time of filling out this form. We are accepting 10-dancers per division.

Acceptable Payments:

Venmo: @XDCHouston

Cashapp: $XplosiveHouston

*put your child's name in the notes section*
Parent/Guardian Name*

First NameLast Name
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Phone Number*

Area CodePhone Number
Parent/Guardian Email:*
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*

Area CodePhone Number
How did you hear about us?

InstagramFacebookFlyer/Sign
Should be Empty:

Xplosive Dance Company Houston