Registration
Already a customer? Click here to login.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Doctor/Physician
Father
Grandparent
Guardian
Mother
Other
Parent
Self
Step Father
Step Mother
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Emergency Contact Info
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
EVENT ATTENDED:
Is your student a beginner?:
Piano or Voice? (music lesson):
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
EVENT ATTENDED:
Is your student a beginner?:
Piano or Voice? (music lesson):
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
EVENT ATTENDED:
Is your student a beginner?:
Piano or Voice? (music lesson):
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
EVENT ATTENDED:
Is your student a beginner?:
Piano or Voice? (music lesson):
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
EVENT ATTENDED:
Is your student a beginner?:
Piano or Voice? (music lesson):
Questions/Options:
Student's Name
*
Student’s Age
*
How did you hear about us?
*
Additional Information:
Non-Refundable:
(Show-Hide Details)
This is a non-refundable event, no exceptions due to limited availability. Multi-class and sibling discounts are not valid for this event.
I've read the above and agree.
Liability/Release Waiver:
(Show-Hide Details)
As the legal parent or guardian, I release and hold harmless Studio 21(DBA The Academy of Performing Arts - Oak Creek & Franklin), its owners and operators from any and all liability, claims, demands and causes of action whatsoever, arising out of or related to any loss, damage or injury, including death, that may be sustained by the participant and /or the undersigned, while in or upon the premises or any premises under the control and supervision of Studio 21, its owners and operators or in route to or from any of said premises. The undersigned gives permission to Studio 21, its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions or condition and/or declare the participant to be in good physical and mental health.
I've read the above and agree.
Covid-19
(Show-Hide Details)
I understand that due to COVID-19 our lobby area is closed. Parents cannot wait inside of the building. Parents who have dancers under the Age of 7, are only allowed to enter the building to drop off their student and then exit. Masks are recommended but not required. Students are required to bring their own water bottles. More covid policies can be found by visiting www.academywi.com/covid
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Please Wait...
