Comfort Hip-Hop Workshop Registration

Parent / Guardian / Adult Student Name:
Student Name (if under 18):
Student's Date of Birth:
Billing Address:
Billing City:
Billing State:
Billing Zip Code:
Billing Phone Number:
Alternative Phone Number:
Email:
Credit Card Type:
Name as it appears on the card:
Credit Card Number:
Expiration Date Month Year
Workshop(s): ages 8-13, 10:30am Hip Hop Class (1.5hour), $30
ages 14+, 1:00pm Hip Hop Class (1 1/2 hours), $30
ages 14+, 2:45pm Hip Hop Class (1 1/2 hours), $30
ages 14+, BOTH classes, $50

Payments & Refunds
Payment will be processed upon submission of this form. Payment is NON REFUNDABLE, except for in the event the workshop is cancelled, and/or Comfort's agency furnishes a substitute not to your liking.

Waiver & Release of All Claims
The undersigned, in her/his capacity, as well as on behalf of the Student, both of his /her Parents and Guardians, recognizing the risks of illness and injury inherent in any dance program (1) acknowledges and agrees that the Student is participating upon the express agreement that illness and/or injury may occur; and (2) agrees to herby release, indemnify and forever discharge Jamz Dance Center, its employees, agents, directors, officers, stockholders, sponsors, and volunteers, and their respective heirs, personal representatives, administrators, predecessors, and assigns (“indemnities”) from and all action, cause or causes of action in law or in equity, suits debts, contracts, agreements, promises, liability claims, demands, damages, loss, cost or expenses of any nature whatsoever, known or unknown, which the undersigned, in her/his capacity, as well as on behalf of the Student both of his/her Parents, and Guardians has had, could have, or may have, own or hold against any of the Indemnities by reason of the Student’s participation in the Dance Session or any other Jamz Dance Center program or event, except for illness or injury resulting from gross negligence or willful misconduct on the part of any of the indemnities. I hereby agree to execute and deliver this Waiver and Release to induce Jamz Dance Center to permit the Student to participate in the Dance Session and other Jamz Dance Center programs and events. I herby grant Jamz Dance Center and it’s authorized designees permission to administer first aid and/ or call 911 in case of a medical emergency affecting the student. I acknowledge and understand that Jamz Dance Center will attempt to first notify parents and guardians in case of an emergency.

Photo Release
JAMZ Dance Center, LLC is hereby granted permission to take photographs and video of the students to use in brochures, web sites, posters, advertisements, and other promotional materials the school creates. Permission is also hereby granted for the school to copyright such photographs in its name.

Check if you agree to terms and conditions
 
 
reasons to choose us:
  • Qualified Instructors
All instructors have extensive professional experience and/or University training/degrees in dance or dance education.

  • Brand New Sprung Hardwood Floors
Each studio has new gymnasium quality hardwood sprung floors which reduce the impact of dancing, are a great form of injury avoidance, and keeps students and teachers energized.

  • Focus on Teaching
All we do is teach. We do not sell or rent dance clothing or equipment. This leaves us free to specialize in one thing - providing the highest quality instruction in a professional environment

  • Focus on Technology
All studios are equipped with iMacs and state of the art sound and lighting equipment. Teachers can download any song at any time, as well as videotape and instantly playback students dancing to assist in educating them.

  • All Ages, Beginner to Advanced
From ages two through adult, students have the ability to grow within our program.