Shuffles Online Registration

Registration

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Registration Form for SHUFFLES, Broadway Tap and Musical Theater School

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Referral Information

How did you hear about us?*

Contact #1

Contact #1 First Name*

Last Name *

Type

How Can We Contact You?

Work #

Cell # * Receive Text Message Notifications

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?

Work #

Cell # * Receive Text Message Notifications

Email* (Emails are kept confidential)

Confirm Email*

Student #1

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

At least two doses of Covid-19 vaccine?*

Gender*

Pronouns

Shuffles is a FULL YEAR program. Once you register for the Fall semester, you will automatically be enrolled in the Spring semester unless you let us know otherwise. You must enroll your student in an age/level appropriate class. All registrations will be approved by our Director. You will be notified of any class transfer or changes. Pre-Professional Programs: The Company, Studio, StudioAP are by Audition ONLY. To inquire, please email StudioManager@shufflesnyc.com

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

At least two doses of Covid-19 vaccine?*

Gender*

Pronouns

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

At least two doses of Covid-19 vaccine?*

Gender*

Pronouns

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

At least two doses of Covid-19 vaccine?*

Gender*

Pronouns

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

School*

At least two doses of Covid-19 vaccine?*

Gender*

Pronouns

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule *

Please fill out CREDIT CARD Payment Method

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*

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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Registration

Referral Information

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

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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

Account Information

Credit Card

eCheck/Bank Draft

Required Policies

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