Prodigy Program - Westwood Public Schools Online Registration

Registration

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- - - THIS FORM IS FOR NEW FAMILIES ONLY. If you are already a Prodigy family, click "Already a customer?" link above. - - - NEW FAMILIES: Please enter your family, student and payment information in the fields below. Credit Card or bank account information MUST be entered at the bottom of this page for billing purposes. NO PAYMENTS ARE REQUIRED until lessons begin in September. For more directions, go to the "Policy" tab on the Prodigy Program web site. Thank you!

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Contact #1

Primary Contact First Name*

Last Name *

Relationship to Student*

How Can We Contact You?

Home Phone *

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Secondary Contact First Name

Last Name

Relationship to Student

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade Level*

Special Needs (to be shared with Instructor)

Allergies (to be shared with Instructor)

Medications (to be shared with Instructor)

Instrument*

Semiprivate Start Year

Semiprivate Partner Request

Schedule Requests

Instructor Requests

To find lessons or classes, click "Search" button next to "Select Class #1" - Filter classes by clicking on "Programs," "Lesson Format" or "Instrument." Click on the Class Name.

To register the same child in another class, click the search button next to "Select Class #2."

To register additional children, click on "Student #2 Information," complete all the fields and select classes as above.

Teacher TBA (To Be Assigned) is for instruments where there is a staff position waiting to be filled. Your child will be assigned a teacher and parents will be informed of the teacher's name and contact info before lessons start.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade Level*

Special Needs (to be shared with Instructor)

Allergies (to be shared with Instructor)

Medications (to be shared with Instructor)

Instrument*

Semiprivate Start Year

Semiprivate Partner Request

Schedule Requests

Instructor Requests

To find lessons or classes, click "Search" button next to "Select Class #1" - Filter classes by clicking on "Programs," "Lesson Format" or "Instrument." Click on the Class Name.

To register the same child in another class, click the search button next to "Select Class #2."

To register additional children, click on "Student #2 Information," complete all the fields and select classes as above.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade Level*

Special Needs (to be shared with Instructor)

Allergies (to be shared with Instructor)

Medications (to be shared with Instructor)

Instrument*

Semiprivate Start Year

Semiprivate Partner Request

Schedule Requests

Instructor Requests

To find lessons or classes, click "Search" button next to "Select Class #1" - Filter classes by clicking on "Programs," "Lesson Format" or "Instrument." Click on the Class Name.

To register the same child in another class, click the search button next to "Select Class #2."

To register additional children, click on "Student #2 Information," complete all the fields and select classes as above.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade Level*

Special Needs (to be shared with Instructor)

Allergies (to be shared with Instructor)

Medications (to be shared with Instructor)

Instrument*

Semiprivate Start Year

Semiprivate Partner Request

Schedule Requests

Instructor Requests

To find lessons or classes, click "Search" button next to "Select Class #1" - Filter classes by clicking on "Programs," "Lesson Format" or "Instrument." Click on the Class Name.

To register the same child in another class, click the search button next to "Select Class #2."

To register additional children, click on "Student #2 Information," complete all the fields and select classes as above.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Grade Level*

Special Needs (to be shared with Instructor)

Allergies (to be shared with Instructor)

Medications (to be shared with Instructor)

Instrument*

Semiprivate Start Year

Semiprivate Partner Request

Schedule Requests

Instructor Requests

To find lessons or classes, click "Search" button next to "Select Class #1" - Filter classes by clicking on "Programs," "Lesson Format" or "Instrument." Click on the Class Name.

To register the same child in another class, click the search button next to "Select Class #2."

To register additional children, click on "Student #2 Information," complete all the fields and select classes as above.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)