Studio 50 Online Registration

Registration

Already a customer? Click here to login.

Welcome to Studio 50! Please complete the following registration form. After registering, you will need to log into your parent portal account to select classes and secure your class spot. We recommend you download the Studio 50 app to connect you all year long with reminders!

* denotes required fields

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

Health Insurance Carrier*

Contact #1

Contact #1 First Name*

Last Name *

Relationship to Child*

How Can We Contact You?

Home Phone

Cell # *

By providing your phone number and checking this box, you agree to receive transactional and informational SMS messages from Studio 50. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out and HELP for help.

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*

Relationship to Child*

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

T-Shirt Size*

Grade Level*

Special Needs/Disabilities/Allergies (Leave blank if NONE)

Describe any Custody Situations

Physical or Behavorial Problems

Emergency Contact Name*

Phone Number*

Relationship to Child*

Please click on the Search button below, then choose the appropriate class.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Grade Level*

Special Needs/Disabilities/Allergies (Leave blank if NONE)

Describe any Custody Situations

Physical or Behavorial Problems

Emergency Contact Name*

Phone Number*

Relationship to Child*

Please click on the Search button below, then choose the appropriate class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Grade Level*

Special Needs/Disabilities/Allergies (Leave blank if NONE)

Describe any Custody Situations

Physical or Behavorial Problems

Emergency Contact Name*

Phone Number*

Relationship to Child*

Please click on the Search button below, then choose the appropriate class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Grade Level*

Special Needs/Disabilities/Allergies (Leave blank if NONE)

Describe any Custody Situations

Physical or Behavorial Problems

Emergency Contact Name*

Phone Number*

Relationship to Child*

Please click on the Search button below, then choose the appropriate class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size*

Grade Level*

Special Needs/Disabilities/Allergies (Leave blank if NONE)

Describe any Custody Situations

Physical or Behavorial Problems

Emergency Contact Name*

Phone Number*

Relationship to Child*

Please click on the Search button below, then choose the appropriate class.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule*

Please fill out BOTH of the following Payment Methods

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

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

Account Information

Required Policies

(Show-Hide Details)