Cape Cod Hip Hop & Jazz

I am interested in session(s) $ Session 1 - June 27 through July 1     Ages 8 - 13 $190.00     Session 2 - July 4 through July 8     Ages 5 - 7 $190.00     Session 3 - July 4 through July 8     Ages 13+ $190.00     Session 4 - Extended Training*         July 11 through July 15     Ages 8 - 12 $285.00     Session 5 - 2 Wk Intensive Training**         July 18 - July 22 & July 25 - July 29     Ages 13 - 20 $555.00     Session 6 - Aug 2 through Aug 6     Ages 7 - 9 $190.00

[ ] Visa     [ ] Mastercard [ ] Check     [ ] Cash ________ - ________ - ________ - ________ Exp: ____/____ (MM/YY)

_____________________________________________________ Name                                                                   Birthdate (mm/dd/yy)       Age _____________________________________________________ Name                                                                   Birthdate (mm/dd/yy)       Age _____________________________________________________ Address _____________________________________________________ _____________________________________________________ Phone                                                                   Cell Phone _____________________________________________________ Parent Signature Rates & Schedules are subject to change. There will be no refunds on cancellations. Once a student enrolls they are taking the place of another potential student. Enrollment fee will only be returned for medical reasons or injury with a doctor's letter.