Registration

Already a customer? Click here to login.

We are THRILLED to announce that BROADWAY STAR, Miss Julia Udine, who is NOW appearing as Christine Daee, the female lead in "Phantom of the Opera" on Broadway, will be visiting Next Stage Dance to teach a Musical Theatre Master Class on MAY 24TH. Julia, a former student of our owner Miss Courtney, is offering this rare opportunity to our students and friends. YOU DO NOT WANT TO MISS OUT on this once in a lifetime opportunity!! THIS EVENT IS OPEN TO THE PUBLIC so bring a friend!

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 Info (Not Contact #1 or #2)*

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: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	Disabilities (Leave blank if NONE):
	Allergies:*
	Medications (Leave blank if NONE):
	Showcase Enroll-YES/NO/N/A:
	Prev Studio/Yrs Trained:
	Enter First Year at Next Stage:

Additional Information:

HOLD HARMLESS AGREEMENT

(Show-Hide Details)

I've read the above and agree.

CREDIT CARD AUTHORIZATION

(Show-Hide Details)

I've read the above and agree.

PHOTO/VIDEO RELEASE

(Show-Hide Details)

I've read the above and agree.

Enter your Full Name: