Grand Central Academy of Performing Arts Online Registration

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Welcome To Grand Central Academy of Performing Arts (GCAPA). We know that you have options when enrolling your child in a new dance class and we appreciate your choice to enroll your child in GCAPA. Feel free to contact us at anytime by calling 704.896.3033 or EMailing info@gcapa.net.

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Referral Information

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Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Neighborhood (Carpools)

Contact #1

Mother/Parent #1 First Name*

Last Name *

Type*

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Home Phone

Cell # *

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Portal Access (your email is your login)

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Contact #2

Father/Parent #2 First Name

Last Name

Type

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Email (Emails are kept confidential)

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Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs. LEAVE BLANK if none.

Allergies. LEAVE BLANK if none.

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

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Allergies. LEAVE BLANK if none.

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Student #3 (Show-Hide Details)

Student's First Name*

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Student Gender*

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Student #4 (Show-Hide Details)

Student's First Name*

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Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

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Allergies. LEAVE BLANK if none.

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Questions or Concerns

Comments

Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

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Student #3 (Show-Hide Details)

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