Texas Center for Arts + Academics Online Registration

Registration

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Welcome to Texas Center for Arts + Academics Fine Arts Conservatories! We offer after school fine arts classes, workshops, and summer camps open to the public. Please complete the following registration form to participate in one of our programs

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Account Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

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

Contact #1

Parent/Guardian #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Parent/Guardian #2 First Name

Last Name

How can we contact you?

Home Phone

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date*

Cell #

Additional Info

Student Email

School*

Grade Level*

Allergies (Leave blank if NONE)

Previous Experience

Please click on the "Select A Class" button below, then choose the classes/workshops/camps you would like to enroll your child in.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Cell #

Additional Info

Student Email

School*

Grade Level*

Allergies (Leave blank if NONE)

Previous Experience

Please click on the "Select A Class" button below, then choose the classes/workshops/camps you would like to enroll your child in.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Cell #

Additional Info

Student Email

School*

Grade Level*

Allergies (Leave blank if NONE)

Previous Experience

Please click on the "Select A Class" button below, then choose the classes/workshops/camps you would like to enroll your child in.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Cell #

Additional Info

Student Email

School*

Grade Level*

Allergies (Leave blank if NONE)

Previous Experience

Please click on the "Select A Class" button below, then choose the classes/workshops/camps you would like to enroll your child in.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Cell #

Additional Info

Student Email

School*

Grade Level*

Allergies (Leave blank if NONE)

Previous Experience

Please click on the "Select A Class" button below, then choose the classes/workshops/camps you would like to enroll your child in.

Enroll in Classes

Select Class *

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

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

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

eCheck/Bank Draft

Required Policies

(Show-Hide Details)