Kenosha Academy of Dance Inc. DBA Kenosha Acacemy of Performing Arts Online Registration

Registration

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Welcome to the Kenosha Academy of Performing Arts' Registration Page. We are so happy to have you here!

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Referral Information

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Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

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Zip*

Contact #1

Contact #1 First Name*

Last Name *

Type*

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Home Phone

Work #

Cell # *

Portal Access (your email is your login)

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Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

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Work #

Cell #

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Confirm Email

Student #1

Student's First Name*

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Student Gender*

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Cell #

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor/Hospital*

Opt OUT Dance Recital 2022*

Kenosha Academy of Performing Arts Class Schedule *To register for a class please click on the "Register" link in the left hand column of the class you prefer. You will then be transferred to our registration form.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor/Hospital*

Opt OUT Dance Recital 2022*

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

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Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor/Hospital*

Opt OUT Dance Recital 2022*

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor/Hospital*

Opt OUT Dance Recital 2022*

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor/Hospital*

Opt OUT Dance Recital 2022*

Enroll in Classes

Select Class

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Registration

Referral Information

Family Information

Where do you live?

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)

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Student #3 (Show-Hide Details)

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