Hip Hop Dance Studios Registration

Dancer's Full Name*

First NameLast Name

Dancer's Date of Birth*

Date

Dancer's Gender

MaleFemale

Emergency Contact*

First NameLast Name

Relationship to Dancer*

Emergency Contact Phone Number*

Please enter a valid phone number.

Any additional medical information?

Permission to seek medical treatment?

YesNo

Are you or your dancer interested in future volunteer opportunities at Hip Hop Dance Studios?

YesNo

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

I grant permission to Hip Hop Dance Studios to photograph and/or record myself and/or my child during classes, rehearsals, performances, and studio-related activities.*

YesNo

I understand that participation at Hip Hop Dance Studios involves physical activity and inherent risks, including but not limited to muscle strains, sprains, falls, collisions, or other injuries. I voluntarily choose for myself and/or my child to participate in these activities and assume all risks, both known and unknown, associated with participation. I hereby release, waive, and discharge Hip Hop Dance Studios, its owners, directors, instructors, staff, volunteers, contractors, and affiliates from any and all liability, claims, demands, actions, or causes of action arising out of or related to any injury, illness, loss, or damage that may occur as a result of participation, whether caused by negligence or otherwise, to the fullest extent permitted by law.*

I acknowledge & accept

I acknowledge that all choreography taught, created, or demonstrated at Hip Hop Dance Studios is the intellectual property of the studio and/or its instructors. I understand and agree that: Choreography may not be recorded, taught, shared, posted, or reproduced without permission. Music used in class is selected intentionally and may not be altered or substituted during performances without approval. Choreography learned at the studio may not be used for commercial purposes, competitions, or performances outside of the studio without written consent. I understand that violation of this policy may result in disciplinary action, including removal from classes or programs.*

I acknowledge & accept

I acknowledge and agree that consistent attendance and punctuality are expected for all classes. Dancers must follow the studio’s dress code and wear appropriate footwear to participate. Respectful conduct is required at all times, and disruptive or unsafe behavior will not be tolerated. Parents, dancers, and guests are expected to communicate respectfully and refrain from interfering with instruction. All participants must follow studio safety rules and procedures, report injuries or concerns promptly, and comply with instructor direction to maintain a safe and positive learning environment.*

I acknowledge & accept

How did you hear about us?

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What class(es) are you registering for? (Winter/Spring classes run February 2nd - April 30th,2026)

Lyrical/Contemporary (ages 18+) Monday's 5pm-5:45pmLyrical/Contemporary (ages 13-17) Monday's 6pm-6:45pmHip Hop (ages 3-5) Tuesday's 4pm-4:45pmHip Hop (ages 6-8) Tuesday's 5pm-5:45pmJazz (13-17) Tuesday's 6pm-6:45pmHip Hop (Ages 9-12) Wednesday's 4pm-4:45pmHip Hop (Ages 13-17) Wednesday's 5pm-5:45pmFeel Good Fitness Hip Hop (18+) Wednesday's 6pm-6:45pm

Payment Options

Level One (1 class per week)

Designed for dancers who want consistency, growth, and community. No contract. Membership Includes: Four structured classes per month, Professional instruction in a positive, values-driven environment Intentional music and choreography. Age-appropriate training (Ages 3+) Priority class placement. This is our introductory dance studio price.

$70.00 Quantity

Level Two (2 classes per week)

No contract. Membership Includes: 2 classes of your choice per week (your selected classes will remain your designated classes for the season) Up to 8 structured classes per month, Professional, high-energy instruction, Positive, values-driven environment, Intentional music selection and empowering, age-appropriate choreography, 10% off all Hip Hop Dance Studios merchandise

$100.00 Quantity

College Creative Studio Access Membership

For the college choreographer ready to create with intention. No contract. This membership provides dedicated studio access for choreography development and rehearsals in a focused, professional environment designed for movement. Membership Includes: 4 hours of studio access per month, Pre-scheduled booking, First-come, first-served availability, Access to a clean, professional dance space, A positive, values-driven creative atmosphere. Reservations are required. Availability is limited.

$65.00 Quantity

Drop in class - Ages 3-16

Trying a class for the first timeFlexible or occasional attendanceVisitors or short-term participationNo registration fee required.Drop-ins are designed for flexibility and do not offer the same progression as membership.

$25.00 Quantity

Drop in class - Age 17+

Trying a class for the first timeFlexible or occasional attendanceVisitors or short-term participationNo registration fee required.Drop-ins are designed for flexibility and do not offer the same progression as membership.

$20.00 Quantity

Drop in class - College Student

Must be currently enrolled in college. Student ID Required. Subject to class availability.

$15.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Hip Hop Dance Studios is a Christ-led hip hop dance studio rooted in the golden eras of hip hop - 80s foundations, strong 90s influence, and early 2000s energy, while embracing today’s uplifting and upbeat Christian music.

Parent/Guardian Information

Liability, Photos & Intellectual Property