2026 Summer Intensive Registration Form

2026 Summer Intensive

DanceInPhinity! - ONLINE REGISTRATION FORM
STUDENT INFORMATION

All fees PAID to DIP are Non-Refundable. Payments are DUE AT TIME OF REGISTRATION. Submit this form, then you will be taken to the Payment Portal on our website FOR ONLINE PAYMENT. (Please Note: All future tuition payments are due by the first of the month.)
Dancer's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age as of July. 1, 2026
Years of Dance Experience
Parent/Guardian Name

First NameLast Name
Primary Phone/Cell
Main number to be reachedFormat: (000) 000-0000.
Secondary Phone/Cell
Format: (000) 000-0000.
E-mail Address
example@example.com
Mailing Address

Street Address Line 1

Street Address Line 2

CityState

Zip Code
Billing Phone/Cell
Main number to be reachedFormat: (000) 000-0000.
Billing E-mail Address
example@example.com
Summer Intensive 2025

CHOOSE YOUR SESSION
Medical Information
List any allergies:
Please list. Write NONE if Not Applicable.
Will your dancer require any medical attention and or special needs during a normal class
If yes, please explain:
Emergency Contact
Name
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Relation to Dancer
Liability Waiver and Photo Release
DOWNLOAD or PRINT this PDF for your records and review. (Top right of document and hit down arrow to save to your device or print.) Sign and agree to all terms, policies and conditions below.
If trouble viewing, please see our Handbook page on our website.
- I/we understand the studio policies
- I/we understand my billing obligations and payments are non-refundable
- 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
Any questions or additional information?
PLEASE NOTE: AFTER YOU SUBMIT YOUR FORM YOU WILL BE TAKEN TO OUR WEBSITE PORTAL TO MAKE ONLINE PAYMENT.

ALL PAYMENTS ARE DUE AT TIME OF REGISTRATION AND ARE NON-REFUNDABLE.
Please verify your entry
DIP STUDIOS, LLC
Dance Institute of Philadelphia
3251 Fox Street, Suite 102 Philadelphia, PA 19129
215-416-7368
DIPstudiosLLC@gmail.com
www.DIP5900.com
Should be Empty:

2026 Summer Intensive

STUDENT INFORMATION

Summer Intensive 2025

Medical Information

Liability Waiver and Photo Release