Kansas City Friends of Alvin Ailey Online Registration

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Welcome to Kansas City Friends of Alvin Ailey STUDIO. STUDIO DANCE PROGRAM (Grades K -12, October-May commitment required) Classes meet one to two times each week. Income based scholarships are available based on family size and income. For income-based scholarship information see Scholarships in Policies and Agreements.

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Referral Information

How did you hear about us?

Billing Information

Account Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Name: (Other than Parent/Guardian)*

Emergency Contact Phone #:*

Request Scholarship (Y/N)*

# Of Children Under 18*

List Names in Household *

Contact #1

Parent/Guardian 1 First Name*

Last Name *

Relationship to student*

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

Relationship to student

How can we contact you?

Home Phone *

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

School*

Grade Level*

Ethnicity: (African American, Hispanic, Caucasian, Asian, Native American, Multi-Racial, Other(?):*

Free/Reduced Lunch (Yes/No)*

STUDIO DANCE PROGRAM TUITION:

$175.00 Year Kindergarten-1st grade (One class per week)

$200 Year 2nd-4th grade (One class per week)

$200 Year 3rd-8th grade Boys Class (One class per week)

$280 Year 5th-12th grade (Two classes per week)

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

School*

Grade Level*

Ethnicity: (African American, Hispanic, Caucasian, Asian, Native American, Multi-Racial, Other(?):*

Free/Reduced Lunch (Yes/No)*

STUDIO DANCE PROGRAM TUITION:

$175.00 Year Kindergarten-1st grade (One class per week)

$200 Year 2nd-4th grade (One class per week)

$200 Year 3rd-8th grade Boys Class (One class per week)

$280 Year 5th-12th grade (Two classes per week)

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

School*

Grade Level*

Ethnicity: (African American, Hispanic, Caucasian, Asian, Native American, Multi-Racial, Other(?):*

Free/Reduced Lunch (Yes/No)*

STUDIO DANCE PROGRAM TUITION:

$175.00 Year Kindergarten-1st grade (One class per week)

$200 Year 2nd-4th grade (One class per week)

$200 Year 3rd-8th grade Boys Class (One class per week)

$280 Year 5th-12th grade (Two classes per week)

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

School*

Grade Level*

Ethnicity: (African American, Hispanic, Caucasian, Asian, Native American, Multi-Racial, Other(?):*

Free/Reduced Lunch (Yes/No)*

STUDIO DANCE PROGRAM TUITION:

$175.00 Year Kindergarten-1st grade (One class per week)

$200 Year 2nd-4th grade (One class per week)

$200 Year 3rd-8th grade Boys Class (One class per week)

$280 Year 5th-12th grade (Two classes per week)

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

School*

Grade Level*

Ethnicity: (African American, Hispanic, Caucasian, Asian, Native American, Multi-Racial, Other(?):*

Free/Reduced Lunch (Yes/No)*

STUDIO DANCE PROGRAM TUITION:

$175.00 Year Kindergarten-1st grade (One class per week)

$200 Year 2nd-4th grade (One class per week)

$200 Year 3rd-8th grade Boys Class (One class per week)

$280 Year 5th-12th grade (Two classes per week)

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Payment Schedule*

Payment Plan Options*

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

Registration

Referral Information

Billing 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

Account Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)