Spindrift School of Performing Arts Online Registration

Registration

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Welcome to Spindrift School's online registration! A credit card is required to create an account. Once enrolled, the fee will be posted but your card is not charged until you or the office charges it. All unpaid classes with student in attendance will be charged after the 2nd week. If you prefer to pay with a check please mail in payment to : SSPA P.O. Box 891, Pacifica CA 94044. We are always happy to assist you, please contact us at 650-738-8648 or at info@spindriftschool.org

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Referral Information

How did you hear about us?*

Referral Name

Family Information

Family/Account Name Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

List additional 2 Emerg. Contacts*

Health Insurance Carrier

LIST ALL ok to sign out child*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Spindrift School of Performing Arts. Standard message and data rates apply. Reply STOP to opt out

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 # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Spindrift School of Performing Arts. Standard message and data rates apply. Reply STOP to opt out

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Spindrift School of Performing Arts. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor

Enter YES if self checkout ok

Choose any filter to narrow your search.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Spindrift School of Performing Arts. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor

Enter YES if self checkout ok

Choose any filter to narrow your search.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Spindrift School of Performing Arts. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor

Enter YES if self checkout ok

Choose any filter to narrow your search.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Spindrift School of Performing Arts. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor

Enter YES if self checkout ok

Choose any filter to narrow your search.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Spindrift School of Performing Arts. Standard message and data rates apply. Reply STOP to opt out

Additional Info

Student Email

T-Shirt Size

Disabilities*

Special Needs*

Allergies*

Medications*

Primary Doctor

Enter YES if self checkout ok

Choose any filter to narrow your search.

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

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