REGISTRATION

BREAKIN’ SERIES

DayWEDNESDAYS
Time5:45–6:45 PM
DatesAPR 22–JUN 10
Ages8–17
$160
Full 8-week series · One-time payment · Ends with showcase
🎶 Hip Hop’s original dance form. Taught for real.
8 weeks of foundation-first breakin’ instruction with instructor Rylei. Cultural grounding, real vocabulary, real history. No drop-ins — full series commitment only.
Parent / Guardian
Emergency Contact
Student Information
Liability Waiver
1. Assumption of Risk. I understand that dance activities involve physical activity and inherent risk of injury. I voluntarily assume all risks associated with participation in Danzversity programs.

2. Waiver and Release. I release Danzversity LLC, its owners, instructors, and staff from any and all liability for injury, loss, or damage arising from participation.

3. Medical Consent. In the event of a medical emergency, I authorize Danzversity staff to seek emergency medical treatment on behalf of my child.

4. Health Status. I confirm that my child is in good health and physically capable of participating in dance activities unless otherwise noted above.

5. Media Release. I grant Danzversity permission to photograph and record my child’s participation for promotional use unless I submit a written opt-out.

6. Payment Policy. The Breakin’ Series is a one-time $160 payment for the full 8-week program. All sales are final per the Danzversity Refund Policy.

7. Acknowledgment. I have read and understand this agreement and sign it voluntarily.
I have read and agree to the liability waiver above, and I confirm that all information provided is accurate.

Secure checkout via Stripe. One-time payment for the full 8-week series.