Hip Hop
Children’s Hip Hop Program At Your Child’s School

Kindergarten – 8th Grades

All School Holidays are observed

Students learn choreographed dances for
Showcases

To participate in the Showcases, there is an
additional cost of $119 for both showcases & $99
for one Showcase
Email: [email protected]

Showcases are 12/17/16 & 5/20/17
Web: www.jazzandgymtyme.com
Elk Grove Campus Classes held on Mondays at
3:00-3:45pm (Starts January 30, 2017)
Phone: (916) 990-5827
Bradshaw Campus Classes held on Thursdays at
3:15-4:00pm (Starts January 26, 2017)
Sign up now!
$52 month/with a $10 yearly
registration fee
(If starting in the middle of month, first monthly fee is prorated)

Please fill out this form and give to Hip Hop Instructor along with payment. Make checks payable to Jazzerettes & Gymtyme or pay
online at www.jazzandgymtyme.com
Registration Form
Student Name:__________________________________ Birth date:______________________________
Grade:________________Classroom:_________________Parent Email:__________________________
Phone Number 1:___________________________Phone Number 2:_____________________________
Before Hip Hop Class: Child Needs to be picked up from Club M (Yes/No) - Child will be brought by Parent/Guardian
(Yes/No)
After Hip Hop Class: Child will be picked up by Parent/Guardian (Yes/No) - Child Needs to be walked back and signed
into Club M (Yes/No)
I understand that this is a physical program and Jazzerettes & Gymtyme cannot be responsible for any injuries
incurred._________________________________________________________Date:___________________________________
Parent’s Signature