HIP HOP TOWNE LAKE – Shining Inspirations

.

DONATE

CONTACT

Q & A

AFTER SCHOOL EMPOWERMENT

MEET THE TEAM

DANCE CLASSES

Messenger_creation_61CE08BD-03B2-445C-8354-958AB7A40A16

REGISTER FOR

HIP HOP

DANCE CLASSES

AT

TOWNE LAKE ACADEMY

REGISTER BELOW

** You MUST attend Towne Lake Academy to register for this class.**

Child's Name

First

Last

Age

Gender

Female
Male

Parent / Legal Guardian's Name

First

Last

Email

Phone

With your permission, we would love to capture and share moments from our program to showcase our activities. Photos and videos will be used in marketing materials, including our website, social media, and flyers. Do you consent to your child being photographed and filmed during class for marketing and promotional purposes of Shining Inspirations Inc.?

Yes, I consent to my child's picture and video being captured and shared for these purposes.
No, I do NOT consent.

name Inspirations sneakers.

I understand Shining Inspirations Inc. is not a Towne Lake Academy program. This program has inherent risks for student injury and as the parent/legal guardian, I acknowledge and assume the responsibility of potential injury to my child. As the parent/legal guardian, I do not hold Towne Lake Academy responsible for any liabilities, judgements or damages as a result of participating in this program.

Yes, I understand and agree.
No, I do NOT agree.

By signing your name below, you are providing an electronic signature, which holds the same legal effect and binding power as a handwritten signature, agreeing to all terms stated above.

Clear Signature

Attire: Hip Hop Dancers will wear comfortable clothing that is easy to move in and sneakers.

Comment or Message

Total

Payment Information