TPC Young Adult Hip Hop Dance Experience Registration (2021)
Thank you for choosing TPC!!! Please complete the form below. This class is specifically for young adults ages 18 and over. There is a $10 fee (which will be applied towards the session's tuition for the class) due to secure your spot. This fee is due after you complete this form, but PRIOR to the start of your first class. The balance of the tuition fees ($50) are due prior to the start of your first class. The $60 total may also be paid up front.

The session dates are outlined below:

Location: 6018 E. Michigan Ave. (Kalamazoo)
Date: July 18 - July 31, 2021
Days: Tuesdays and Thursdays
Time: 7:15pm - 8:15pm

The following electronic forms of payment are accepted:

* Cash App ($TrinityPrepCenter)
* PayPal (use trinityprepcenter@gmail.com) NOTE: Any fees incurred by TPC for this form of payment will be forwarded to the sender for payment.
* Credit card over the phone (with a 4% processing fee)

Reminder: After completing the registration form, please send the $10 fee electronically to complete your registration and secure your spot. Feel free to call 269-430-3171 (include area code when dialing) if you have any questions. Once payment is received, you can expect to attend the next scheduled class time. All participants must be 18 and over.

NOTE: Sorry, all payments are non-refundable and cannot be prorated.
Email *
FIRST NAME: *
LAST NAME: *
AGE: *
DATE OF BIRTH *
MM
/
DD
/
YYYY
ADDRESS: *
Please list full address with Street Address, City, State, and Zip Code.
CELL PHONE *
Please remember to include the area code.
DO YOU HAVE ANY PRE-EXISTING HEALTH CONDITIONS? *
Please choose yes if you have asthma, allergies, seizures or any other health condition that may impact your ability to participate to any extent. Note that pre-existing health conditions may not necessarily prevent you from participating; however, it may warrant further conversation or a medical release to participate.
IF YES, PLEASE LIST BELOW:
I AM REGISTERING FOR THE FOLLOWING SESSION
Please note that the Young Adult Hip Hop Experience meets for two weeks on Tuesdays and Thursdays. Class time is from 7:15pm - 8:15pm. You will be notified if a new session is added. Remember that your FIRST payment is the $10 fee, to secure your spot, that will go towards your session tuition. It is due once you submit this form. Call/text 269-430-3171 with any questions.

To prevent the spread of germs, especially COVID-19, all participants must wear masks, get temperature taken, and use hand sanitizer. Additional CDC guidelines and governor's executive orders will be followed as well.  
Young Adult Hip Hop Dance Experience Session *
Required
EMERGENCY CONTACT NAME & NUMBER (include full name and number with area code): *
Please list the name and number of someone other than yourself.
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy