Omaha School of Music and Dance Online Registration

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Welcome to Omaha School of Music & Dance! You are currently in our secure registration & payment website. Please provide your information below & click submit. All enrollments are considered pending until reviewed, and we will call you within 24 hours of submitting your registration to select/confirm your class. Thank you for registering! You can call us at (402) 515-9639 or to return to our main website at OmahaSchoolofMusicandDance.com.

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Referral Information

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Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Class of Interest?

Day of Class?

Time of Class?

Day you want to start?

Camp?

Contact #1

Contact #1 First Name*

Last Name *

Type*

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Home Phone *

Work #

Cell #

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Portal Access (your email is your login)

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Confirm Email*

Portal Account Password

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Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

T-Shirt Size

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Allergies (Leave blank if NONE)

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Student's First Name*

Last Name*

Student Gender*

Birth Date*

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Student Email

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Student's First Name*

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Student #5 (Show-Hide Details)

Student's First Name*

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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)

Student #1

Additional Info

Student #2 (Show-Hide Details)

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Student #3 (Show-Hide Details)

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Student #4 (Show-Hide Details)

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