Registration

10:00AM-11:00AM 8&Under || 11:00AM-12:00PM 9-11 || 12:00PM-01:15PM 12-14 || 01:15PM-02:30PM 15+

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact (Not Contact #1 or #2)*

Students entered below will be added to your family's account

Additional Information:

Medical

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I've read the above and agree.

Media

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I've read the above and agree.

Audition Times & Dress Code

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I've read the above and agree.

Enter your Full Name:

Other Questions/Comments:

Credit Card Verification:

Card Number: *

Name as it appears on card: *

Nickname:

Card Expiration Month: *

Exp Year: *

Address Line 1:

Address Line 2:

City:

State: Zip:*

eCheck/Bank Draft:

Bank Name:

Bank Routing Number:

(9-digit number)

Your Account Name:

(Your name on your bank statement)

Your Account Type:

Account Number: