Lupton Street Studios Online Registration

Registration

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Welcome to Lupton Street Studios! Once you complete your studio profile, you will be able to enroll in any of our amazing programs. Unless otherwise stated, ALL CLASSES take place at 2058 Main St. N. (former Knox Church) in Jarvis (back parking lot / back door)

* denotes required fields

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

Postal Code*

Contact #1

Contact #1 First Name*

Last Name *

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

Student #1

Student's First Name*

Last Name*

Birth Date*

Additional Info

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

Media Release (see below)*

MEDIA RELEASE
By typing YES in the Media Release Box (above), you give consent for your / your child(ren)'s name, photo and/or video to be used in association with Lupton Street Studios on the studio website, in the media and social media outlets.

By typing NO in the Media Release Box (above), you do not give consent for your / your child(ren)'s name, photo and/or video to be used in association with Lupton Street Studios on the studio website, in the media and social media outlets.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

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

Media Release (see below)*

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

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

Media Release (see below)*

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

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

Media Release (see below)*

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

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

Media Release (see below)*

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Registration

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

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

Required Policies

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