Averyboo Arts Online Registration

Registration

Already a customer? Click here to login.

Welcome to Averyboo Arts!
(1) Please complete the registration form below.
(2) After submitting, you will PAY for the class in your PARENT PORTAL
(3) Your seat is not saved until payment is made.
>> If using Charter School Funds, follow the process listed on this page:
https://www.averyboo.com/homeschool

* 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

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

First Name*

Last Name *

Relation*

How Can We Contact You?

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

First Name

Last Name

Relation

How can we contact you?

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Birth Date*

Additional Info

School*

Grade Level*

(Leave blank if NONE)> I have disclosed Special Needs, Behaviors, Neurodivergence before enrolling

• If you have another student, please add them using the "Add Another Student" button below.
• Use the "Select Another Class" button to make changes or to choose additional classes or CAMPS to enroll in.

Enroll in Classes

Select Another Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

School*

Grade Level*

(Leave blank if NONE)> I have disclosed Special Needs, Behaviors, Neurodivergence before enrolling

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

School*

Grade Level*

(Leave blank if NONE)> I have disclosed Special Needs, Behaviors, Neurodivergence before enrolling

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

School*

Grade Level*

(Leave blank if NONE)> I have disclosed Special Needs, Behaviors, Neurodivergence before enrolling

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

School*

Grade Level*

(Leave blank if NONE)> I have disclosed Special Needs, Behaviors, Neurodivergence before enrolling

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Monthly Class>Choose Billing Type:*

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*

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

Account Information

Credit Card

Required Policies

(Show-Hide Details)