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 August 1, 2026
Years of Dance Experience
Parent/Guardian Name

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

Street Address Line 1

Street Address Line 2

CityState

Zip Code
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.
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

Medical Information

Liability Waiver and Photo Release