Studio 453 Online Registration

Registration

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Welcome to Studio 453! Please complete the registration form and click "Submit." Once submitted, you’ll be prompted to pay the registration fee. After that, your child will be officially enrolled and added to our class rolls.

* denotes required fields

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Post Code*

Primary Phone

Contact #1

First Name*

Last Name *

Relationship to Student*

How Can We Contact You?

Home Phone

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

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*

Cell #

Additional Info

Student Email

King's Campus e.g., Reedy Creek, Pimpama, Logan Village*

Grade Level*

Diagnosed conditions (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medical Conditions (Leave blank if NONE)

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

King's Campus e.g., Reedy Creek, Pimpama, Logan Village*

Grade Level*

Diagnosed conditions (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medical Conditions (Leave blank if NONE)

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

King's Campus e.g., Reedy Creek, Pimpama, Logan Village*

Grade Level*

Diagnosed conditions (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medical Conditions (Leave blank if NONE)

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

King's Campus e.g., Reedy Creek, Pimpama, Logan Village*

Grade Level*

Diagnosed conditions (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medical Conditions (Leave blank if NONE)

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

King's Campus e.g., Reedy Creek, Pimpama, Logan Village*

Grade Level*

Diagnosed conditions (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medical Conditions (Leave blank if NONE)

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

Post Code

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank State Branch (BSB) Number (6-digit number)

Account Number

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Registration

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)