Strut Performing Arts Online Registration

Registration

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Welcome! We are excited to have you join our studio program & look forward to building a long-lasting relationship with you / your family. It is our goal to provide a safe, enjoyable, and educational environment where students can succeed to the best of their ability. At SPA students are immersed in dance and given the tools necessary to succeed in the pursuit of excellence. Please visit your Parent Portal to complete the Registration / Payment process.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Info: Include Contact Name & Contact Number

Show Volunteer? Y/N*

Student Show Shirt? $40*

Purchase Show Video Link? $55*

Contact #1

Contact #1 First Name*

Last Name *

Type*

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

Contact #2 First Name

Last Name

Type

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*

Cell #

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Medical Condition (N/A IF NONE)

Accommodations (N/A IF NONE)

Allergies (N/A IF NONE)*

Medications (N/A IF NONE)*

Primary Doctor

Please complete the following Registration Information.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Medical Condition (N/A IF NONE)

Accommodations (N/A IF NONE)

Allergies (N/A IF NONE)*

Medications (N/A IF NONE)*

Primary Doctor

Please complete the following Registration Information.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Medical Condition (N/A IF NONE)

Accommodations (N/A IF NONE)

Allergies (N/A IF NONE)*

Medications (N/A IF NONE)*

Primary Doctor

Please complete the following Registration Information.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Medical Condition (N/A IF NONE)

Accommodations (N/A IF NONE)

Allergies (N/A IF NONE)*

Medications (N/A IF NONE)*

Primary Doctor

Please complete the following Registration Information.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

T-Shirt Size

School*

Grade Level*

Medical Condition (N/A IF NONE)

Accommodations (N/A IF NONE)

Allergies (N/A IF NONE)*

Medications (N/A IF NONE)*

Primary Doctor

Please complete the following Registration Information.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

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*

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

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

Required Policies

(Show-Hide Details)