Thank you for your interest in joining our Hip-Hop Music Class! Please fill out the form below to complete your registration.
First Name
Last Name
Date of Birth
Gender
Street Address
City/Suburb
State/Province
Postal/Zip Code
Phone Number
Email Address
Parent/Guardian Name (if under 18)
Emergency Contact Name
Emergency Contact Phone
Class Type
Beginner
Intermediate
Advanced
Preferred Days (Please check all that apply)
Monday
Wednesday
Friday
Saturday
Preferred Time (Please check all that apply)
Morning (10:00 AM - 12:00 PM)
Afternoon (2:00 PM - 4:00 PM)
Evening (6:00 PM - 8:00 PM)
Class Duration
4 Weeks
8 Weeks
12 Weeks
Are you interested in group or private lessons?
Group
Private
Do you have prior experience with Hip-Hop music or dance?
If yes, please describe your experience
What are your goals for this class? (Please check all that apply)
Learn the basics of Hip-Hop music production
Improve freestyle rapping skills
Master beat-making techniques
Explore Hip-Hop dance styles
Other:
Monthly Fee
Payment Method
Online Payment
Cash (in-person only)
Check
Bank Transfer
I understand that participation in this class involves physical activity and I am responsible for my own safety.
I grant permission for photos/videos taken during class to be used for promotional purposes.
I have read and agree to the terms and conditions outlined by [Organization Name].
Student/Parent Signature
Additional Notes or Special Requests
Thank you for registering! We look forward to seeing you in class!
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