Registration
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Welcome to The Studio! Please complete the following registration form.
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Referral Information
How did you hear about us?
*
Coupon
Exhibition
Facebook
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Other
Parent Magazine
Performance
Referral
Returning Family
Walk-in
Website
Referral Name
Family Information
Family Last Name
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Where do you live?
Home Address
City
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State
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AL
AR
AZ
CA
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DC
DE
FL
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HI
IA
ID
IL
IN
KS
KY
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MD
ME
MI
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MS
MT
NE
NC
ND
NH
NJ
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NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip
Primary Phone
*
Contact #1
Contact #1 First Name
*
Last Name
*
Type
*
Caregiver
Father
Guardian
Mother
Parent
Self
How Can We Contact You?
Home Phone
Work #
Cell #
*
Portal Access (your email is your login)
Email
*
(Emails are kept confidential)
Confirm Email
*
Portal Account Password
Confirm Portal Account Password
Contact #2
Contact #2 First Name
Last Name
Type
Caregiver
Father
Guardian
Mother
Parent
Self
How can we contact you?
Home Phone
Work #
Cell #
Email
(Emails are kept confidential)
Confirm Email
Student #1
Student's First Name
*
Last Name
*
Birth Date
*
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult X-Small
Adult XX-Large
Child Large
Child Medium
Child Small
Child X-Large
Child X-Small
Child XX-Small
IC
ICL
LA
LC
MA
MC
MCL
PA
SA
SAL
SC
SXS
T (2T)
Teen
XLA
XLC
XSAL
XSC
XXSC
Student #2
(Show-Hide Details)
Student's First Name
*
Last Name
*
Birth Date
*
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult X-Small
Adult XX-Large
Child Large
Child Medium
Child Small
Child X-Large
Child X-Small
Child XX-Small
IC
ICL
LA
LC
MA
MC
MCL
PA
SA
SAL
SC
SXS
T (2T)
Teen
XLA
XLC
XSAL
XSC
XXSC
Student #3
(Show-Hide Details)
Student's First Name
*
Last Name
*
Birth Date
*
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult X-Small
Adult XX-Large
Child Large
Child Medium
Child Small
Child X-Large
Child X-Small
Child XX-Small
IC
ICL
LA
LC
MA
MC
MCL
PA
SA
SAL
SC
SXS
T (2T)
Teen
XLA
XLC
XSAL
XSC
XXSC
Student #4
(Show-Hide Details)
Student's First Name
*
Last Name
*
Birth Date
*
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult X-Small
Adult XX-Large
Child Large
Child Medium
Child Small
Child X-Large
Child X-Small
Child XX-Small
IC
ICL
LA
LC
MA
MC
MCL
PA
SA
SAL
SC
SXS
T (2T)
Teen
XLA
XLC
XSAL
XSC
XXSC
Student #5
(Show-Hide Details)
Student's First Name
*
Last Name
*
Birth Date
*
Additional Info
T-Shirt Size
Adult Large
Adult Medium
Adult Small
Adult X-Large
Adult X-Small
Adult XX-Large
Child Large
Child Medium
Child Small
Child X-Large
Child X-Small
Child XX-Small
IC
ICL
LA
LC
MA
MC
MCL
PA
SA
SAL
SC
SXS
T (2T)
Teen
XLA
XLC
XSAL
XSC
XXSC
Add Another Student
Required Policies
(Show-Hide Details)
I Agree to All of the Above
Enter your Full Name
*
January 15, 2025
Questions or Concerns
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Payment Information
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Address Line 1
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City
State
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DE
FL
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HI
IA
ID
IL
IN
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MD
ME
MI
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MO
MS
MT
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NE
NH
NJ
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NV
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OR
PA
RI
SC
SD
TN
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PR
VI
Zip
eCheck/Bank Draft
Bank Name
Account Type
Checking
Savings
Your Account Name
(Your name on your bank statement)
Bank Routing Number
(9-digit number)
Account Number
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