Break Free Hip-Hop School - Registration Form

Break Free South Houston is our flagship location, and we are also hosting a program at Chara Christian Dance Academy in Friendswood

South Houston: 9191 Winkler Dr

Suite F - Houston, TX 77017

Friendswood: 101 Hunters Ln

Friendswood, TX 77546

Schedule:

South Houston

Ages 3-5: Tuesdays and Thursdays from 515-6pm

Ages 6+: Tuesday, Wednesday, Thursday from 6-7pm

Friendswood

Ages 3-5: Saturdays from 3-345pm

Ages 6+: Saturdays from 4-5pm

This enrollment gives you access to classes at ALL location on any days

Note: Monthly pauses can be coordinated during the summer for any travel plans (and our cancellation policy is a two weeks notice with no fee)

Instagram: https://www.instagram.com/breakfreehouston

Student First Name *

Student Last Name *

Email *

Date of birth *

Phone *

Student #2 Full Name (Sibling)

Student #3 Full Name (Sibling)

Parent/Guardian Full Name (if under 18)

Notes - Please share any special notes about your student and/or family

Tuition

Monthly tuition is not charged until 30 days after your registration date. Your monthly billing will then recur automatically on that same date each month using the card on file.

If you’d like to request a different payment arrangement, please speak with a Break Free staff member on-site or text us directly.

Break Free Membership - Access to All Classes (Flexible Schedule)

$179/month: 1 student

$229/m: 2 students

$279/m: 3 students

1 Class Per Week Only

$129/month: 1 Student

$199/m: 2 Students

$229/m: 3 students

Tuition Option *

One-Time Registration Fee

Covers student onboarding, roster placement, and administrative processing. This fee is only charged once.

For multiple student families, please select the correct quantity (one per student)

Sell Products *

Registration Fee

$79.99

WAIVER OF LIABILITY

I/we realize that participation in Break Free classes and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I/we (the student and parent/guardian) assume all risks related to the use of any and all spaces used by Break Free. I/we agree to release and hold harmless Break Free including its teachers, staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I understand that Break Free are licensed, accredited and insured organizations. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes, I/we agree to report the unsafe conduct or conditions to any instructor or staff member as soon as possible

MEMBERSHIP TERMS

By enrolling in a membership with Break Free Hip-Hop School, the client agrees to the selected membership timeframe and accepts responsibility for the full payment of membership fees for the entire duration of the agreement. Any cancellation of the membership is subject to Break Free Hip-Hop School's cancellation policy of two weeks noticed before the next invoice date.

SOCIAL MEDIA AND PUBLICATION RELEASE

I hereby grant permission to Break Free to use photographs and/or video of myself and/or my child taken during time at our facilities, recordings in our online classes, or at events related to our business, in publications, news releases, online, and in other communications related to the mission of Break Free.