Summer Dance Camp 2022

Summer Dance Camp 2022

July 25-29
We will place your child in the appropriate class based on age and class sizes.

Remember that Hip Hop is open to boys ages 5-18 first.
Family Last Name *
Child Information *

First Name Age
Class Desired *

Hip Hop Interpretive
Birth Date *

Month Day Year
T-Shirt Size *

Youth Small (6-8) Youth Medium (10-12) Youth Large (14-16) Adult Small Adult Medium Adult Large Adult Extra Large
Child Information

First Name Age
Class Desired

Hip Hop Interpretive
Birth Date

Month Day Year
T-Shirt Size

Youth Small (6-8) Youth Medium (10-12) Youth Large (14-16) Adult Small Adult Medium Adult Large Adult Extra Large
Child Information

First Name Age
Class Desired

Hip Hop Interpretive
Birth Date

Month Day Year
T-Shirt Size

Youth Small (6-8) Youth Medium (10-12) Youth Large (14-16) Adult Small Adult Medium Adult Large Adult Extra Large
Child Information

First Name Age
Class Desired

Hip Hop Interpretive
Birth Date

Month Day Year
T-Shirt Size

Youth Small (6-8) Youth Medium (10-12) Youth Large (14-16) Adult Small Adult Medium Adult Large Adult Extra Large
Child Information

First Name Age
Class Desired

Hip Hop Interpretive
Birth Date

Month Day Year
T-Shirt Size

Youth Small (6-8) Youth Medium (10-12) Youth Large (14-16) Adult Small Adult Medium Adult Large Adult Extra Large
Please make note of any allergies, disabilities, asthma, or other concerns we should be made aware of. Please be sure to let us know which child has those concerns.
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mobile Number *

Area Code Phone Number
Do You Text?

Yes No
What number can we reach you at if there is a problem during camp?
Father & Mother Name

Father Mother
E-mail *
After registering please send a $20 (per child) non-refundable deposit in order to secure your spot at dance camp. Make checks payable to CHC and mail to 113 Marilyn Circle, Ringgold, GA. 30736. You may also choose to pay in full at this time.
Please enter the text as you see it. *
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