Maria Verdeja School of the Arts Online Registration

Registration

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Welcome to MVSA Studios! We're glad you found us. New students please complete the following registration form. Returning students please sign in to your parent portal to register for up-coming classes. Let's dance!

* denotes required fields

Family Information

Family (Please use student's last name) Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Other than Contact #1 or #2)*

Studio location (MIA or KB)*

Contact #1

Contact #1 First Name*

Last Name *

Relationship

How Can We Contact You?

Cell #

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

Relationship

How can we contact you?

Cell #

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Grade Level*

Allergies (Write NONE if N/A)*

Medications (Leave blank if NONE)

Leotard Size*

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Grade Level*

Allergies (Write NONE if N/A)*

Medications (Leave blank if NONE)

Leotard Size*

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Grade Level*

Allergies (Write NONE if N/A)*

Medications (Leave blank if NONE)

Leotard Size*

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Grade Level*

Allergies (Write NONE if N/A)*

Medications (Leave blank if NONE)

Leotard Size*

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Student Email

Grade Level*

Allergies (Write NONE if N/A)*

Medications (Leave blank if NONE)

Leotard Size*

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

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*

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Registration

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

Student #2 (Show-Hide Details)

Additional Info

Student #3 (Show-Hide Details)

Additional Info

Student #4 (Show-Hide Details)

Additional Info

Student #5 (Show-Hide Details)

Additional Info

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

(Show-Hide Details)