Davis Studio Online Registration

Registration

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Sorry, but this class is no longer available.

Please complete the following registration form.
Adult Students will need to add themselves as a Contact (choose Type: Self) as well as a Student to enroll in a class.
Thank you!

* 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*

Additional Info

Emergency Contact Name & Phone Number*

Gift Card #

Contact #1

Contact 1 First Name*

Last Name *

Type

How Can We Contact You?

Home Phone

Work #

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

Type

How can we contact you?

Home Phone

Work #

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

Grade Level OR Adult*

Is there any information about this student’s personality or learning style you would like to share?

Are there any medications, illnesses, or allergies that Emergency Personnel should be aware of?

Student Pronouns?

Please click the "SELECT CLASS" button below, then choose a class.

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

Grade Level OR Adult*

Is there any information about this student’s personality or learning style you would like to share?

Are there any medications, illnesses, or allergies that Emergency Personnel should be aware of?

Student Pronouns?

Please click the "SELECT CLASS" button below, then choose a class.

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

Grade Level OR Adult*

Is there any information about this student’s personality or learning style you would like to share?

Are there any medications, illnesses, or allergies that Emergency Personnel should be aware of?

Student Pronouns?

Please click the "SELECT CLASS" button below, then choose a class.

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

Grade Level OR Adult*

Is there any information about this student’s personality or learning style you would like to share?

Are there any medications, illnesses, or allergies that Emergency Personnel should be aware of?

Student Pronouns?

Please click the "SELECT CLASS" button below, then choose a class.

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

Grade Level OR Adult*

Is there any information about this student’s personality or learning style you would like to share?

Are there any medications, illnesses, or allergies that Emergency Personnel should be aware of?

Student Pronouns?

Please click the "SELECT CLASS" button below, then choose a class.

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

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)