Registration
Greetings Friends and Family! COMPLETE THE REGISTRATION EVEN IF YOU ARE PURCHASING A TICKET TO ATTEND. ADDITIONAL GUESTS ARE LISTED UNDER "ADD NEW STUDENT" PERFORMERS:  Performers contact Miss L at (954)731-0591. Performers do not need to purchase entry tickets.
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: *
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Are you performing?*
Do you have any pictures/videos you would like to add to the Presentation?*
Would you like to say a few words in tribute to Ms. Dianne Taylor? (5min max)*
 
Additional Information:
 
 
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:*