Form

As you register please be sure to let us know the age of your child and the t-shirt size needed. Kim will place your child into the appropriate class based on age so all you need to mark is whether hip hop or interpretive is desired.

Remember that Hip Hop is open to boys first ages 5-15. Interpretive is open to all girls from 4 to 18 years old.

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 *

Please realize that we order t-shirts based on registration. If you must cancel, we will try our best to transfer the shirt to another child. However, if we are unable to do that we will ask that you pay for the cost of the shirt and we will send it to you.

After registering please send a $10 (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. *

Summer Dance Camp