Brickhouse NYC 2025 Hip Hop Summer Intensive Registration Form
Dancer's Name
*
First Name
Last Name
Dancer's Age
*
Parent/Guardian Name (if dancer under 18)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Dancer's T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X Large
XX Large
Summer Intensive Group
*
Week 1: Ages 13 & under - August 4th - 8th (11 am - 3 pm)
Week 2: Ages 14 & over - August 11th - 15th (11 am - 3 pm)
Payment: *no refunds after registration is submitted.
*
prev
next
( X )
Summer Intensive
$
525.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: