Cape Cod Hip Hop & Jazz

I am interested in session(s) Session 1 - June 28 through July 2     Ages 8 - 13     Session 2 - July 5 through July 9     Ages 5 - 7     Session 3 - July 5 through July 9     Ages 13+     Session 4 - Extended Training*         July 12 through July 16     Ages 8 - 12     Session 5 - 2 Wk Intensive Training**         July 19 - July 23 & July 26 - July 30     Ages 13 - 20     Session 6 - Aug 2 through Aug 6     Ages 7 - 9

[ ] Check     [ ] Cash [ ] Visa     [ ] Mastercard [ ] $190.00 Per student per 1 week Clinic [ ] $285.00 Per student per Extended Training Clinic* [ ] $555.00 Per student per 2 wk Intensive Training Clinic**

_____________________________________________________ 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.