2026 Cohort Registration

Student Information

HBCU Next Cohort
Name*

First NameLast Name
Discipline*
Instagram Account*
Enter 'N/A' if you do not have an IG account.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email*

Confirmation Emailexample@example.com
Emergency Contact

Please provide the following information:
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.
Emergency Contact Email Address
example@example.com
Current Grade*

12thCollege
High School / College Name*
High School/Studio Team Name (if applicable)
High School/Studio Team Instagram (if applicable)
Name 3 HBCU Teams you are interested in auditioning for: *
Name two (2) HBCU Teams You Would Like to Learn More About:*
Have you applied to any HBCUs?*

YesNo
List any colleges that you have been accepted to, or currently attend: *
How did you learn about the HBCU Cohort

FacebookSocial MediaDance Coach/TeacherReferralOther
The cost to participate in the HBCU Cohort is $125.00.

Use the Paypal feature below to register. If you need another method of payment, please email smzachery@hbcuadd.com to request and receive instructions. We accept CashApp ($hbcuadd), as well as Certified Check or Money Order.

LIABILITY WAIVER AND PHOTO RELEASE

https://form.jotform.com/240256108538051
Cohort Payment
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Cohort Registration1 Student - HBCU Next Cohort
$125.00

Cohort Registration - Other Payment MethodUse this if you are requesting an alternate payment method. Send email to smzachery@hbcuadd.com.
$ Free Quantity

Total

$0.00
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Student Information

Emergency Contact