Eva Moore's Performing Arts Center Online Registration

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Eva Moore's Performing Arts Center Online Enrollment We look forward to helping your artist grow with their "Heart on their Sleeve!"

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Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

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Type*

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Contact #2

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Student #1

Student's First Name*

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Additional Info

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Please note age and ability restrictions. If you run into any issues while registering please contact our office at (816)540-2941 or email info@danceatempac.com. We are happy to help!

Enroll in Classes

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Student #2 (Show-Hide Details)

Student's First Name*

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Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please note age and ability restrictions. If you run into any issues while registering please contact our office at (816)540-2941 or email info@danceatempac.com. We are happy to help!

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please note age and ability restrictions. If you run into any issues while registering please contact our office at (816)540-2941 or email info@danceatempac.com. We are happy to help!

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please note age and ability restrictions. If you run into any issues while registering please contact our office at (816)540-2941 or email info@danceatempac.com. We are happy to help!

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Disabilities (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please note age and ability restrictions. If you run into any issues while registering please contact our office at (816)540-2941 or email info@danceatempac.com. We are happy to help!

Enroll in Classes

Select Class *

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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)

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