About the Owner
Join the Teaching Crew
Dance Video Series
Hip Hop Dance Blog
Parent's Name (if applicable)
Email (Gmail Preferred)
Social Media (Username)
Kidz Class Selection
Adv Youth Hip Hop (8-10)
Adv Junior Hip Hop (11-13)
Adv Teen Hip Hop (14-17)
Beginner Kids Hip Hop (10-16)
Adultz Class Selection
Monday 8:00-9:00pm (Twerkout Fitness)
Monday 7:00-8:00pm (Beginner Hip Hop)
Tuesday 7:30-8:30pm (Beginner Hip Hop)
Wednesday 7:00-8:00pm (Adv. Beginner Hip Hop)
Wednesday 8:00-9:00pm (Advanced Hip Hop)
Thursday 7:00-8:00pm (Intermediate Hip Hop)
How Did You Hear About Us?
Social Media (Twitter/Instagram)
If Friend Referral, List friend:
I understand that dancing is a physical activity that may result in physical injury and I will not hold Nickelz Production liable for any extent of an injury that may result from participating in a Nickelz Production Dance Class. I understand that I should be aware of my physical limitation and agree not to exceed them. If I am signing this waiver for my child, I certify that I am the parent or legal guardian and have the right to waive these rights on behalf of the dance student named above.
Yes, I grant permission for Nickelz Production to use photography and video taken during class or Nickelz Production sponsored events for publicity purposes of the student name above
No, I do not wish for my photo or video of me to be used for Nickelz Production promotional use
Reuse of Choreography
I understand that the video of the choreography sent to me after class is only intended for personal use and cannot be reproduced or taught again in a professional manner without the consent of the original choreographer.
1057 W. Broad St. Suite 222
Falls Church, Virginia
Copyright © 2017 Nickelz Production LLC. All rights reserved.