Studio Seven Center for Creative Studies Online Registration

Registration

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Welcome to online registration for Studio Seven Center for Creative Studies! Please provide your information below! Please note, in order to reserve your student's place in class, the registration fee must be paid at time of registration. Thank you! NOTE: If you are registering in any of our CAMPS OR WORKSHOPS, you will NOT be assessed a registration fee.

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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 Contact Info*

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

Who is your employer?

Employer

Employer Phone

Employer Notes

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

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications

Primary Doctor

Please see 'Course Descriptions' and 'Tuition' tabs on our website for further information on classes and tuition fees . PLEASE ALSO CLICK ON 'CLASSES AND SCHEDULES,' and review all information on this page. Here you will find everything your student will need to be prepared for class. Please make your class selections below. NOTE: Final placement in any level II or III class will be determined by the instructors within the first few weeks.

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Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications

Primary Doctor

Enroll in Classes

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Student #3 (Show-Hide Details)

Student's First Name*

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Birth Date*

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Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications

Primary Doctor

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Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications

Primary Doctor

Enroll in Classes

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Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies*

Medications

Primary Doctor

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Comments

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Credit Card

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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)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

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Student #3 (Show-Hide Details)

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Student #4 (Show-Hide Details)

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