Arts in Motion Online Registration

Registration

Already a customer? Click here to login.

Welcome to our online registration system! To preview the available class options, skip down to the "Student Info" section, enter a student first name, then click "Select classes". From there, click on the search icon in the upper L corner and use the session or day filters to narrow your search.

CURRENT AND RECENT STUDENTS--Click on "Already a customer" above to access your account or re-enroll.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name*

Family Information

Student Last Name / Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Additional Emergency Contact*

Health Insurance Carrier*

Contact #1

Parent 1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone *

Work #

Cell # *

By providing your phone number and checking this box, you agree to receive transactional and informational SMS messages from Arts in Motion. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out and HELP for help.

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Parent 2 or Guardian First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

School

Grade Level

Special Notes (past injuries, asthma, fainting, etc.)

Allergies (Leave blank if NONE)

Primary Doctor Name*

Primary Doctor Phone*

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

School

Grade Level

Special Notes (past injuries, asthma, fainting, etc.)

Allergies (Leave blank if NONE)

Primary Doctor Name*

Primary Doctor Phone*

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

School

Grade Level

Special Notes (past injuries, asthma, fainting, etc.)

Allergies (Leave blank if NONE)

Primary Doctor Name*

Primary Doctor Phone*

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

School

Grade Level

Special Notes (past injuries, asthma, fainting, etc.)

Allergies (Leave blank if NONE)

Primary Doctor Name*

Primary Doctor Phone*

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

School

Grade Level

Special Notes (past injuries, asthma, fainting, etc.)

Allergies (Leave blank if NONE)

Primary Doctor Name*

Primary Doctor Phone*

Enroll in Classes

Select Class *

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

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)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Required Policies

(Show-Hide Details)