2025 Summer Intensive Registration Form

Summer Intensive

2025 - 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, 2025*
Years of Dance Experience*
Parent/Guardian Name*

First NameLast Name
Primary Phone/Cell*
Main number to be reached
Secondary Phone/Cell
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 reached
Billing E-mail Address
example@example.com
Summer Intensive 2025

CHOOSE YOUR SESSION
Summer Intensive*
prevnext( X )
Session 1 - 2 WEEK SUMMER INTENSIVE July 28th - August 7th Intermediate/Advance Monday - Thursday 5:30-8:30PM
$300.00

Session 2 - 1 WEEK "SKILL ENRICHMENT BOOTCAMP" MANDATORY FOR DCDE MEMBERS August 11th - August 14thBeginners / Ages 6-12 Monday - Friday 5:30-8:30pm
$150.00
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*

NoYes
If yes, please explain:
Emergency Contact*
Name
Contact Number*
Please enter a valid phone number.
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

Clear
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:

Summer Intensive

STUDENT INFORMATION

Summer Intensive 2025

Medical Information

Liability Waiver and Photo Release