Bayside Performing Arts Online Registration

Registration

Already a customer? Click here to login.

Welcome to Bayside Performing Arts! To kickstart your journey in music and movement please complete the following registration form:

* denotes required fields

Referral Information

How did you hear about us?*

Account Information

Family Last Name*

Where do you live?

Home Address*

State*

Zip*

Primary Phone*

Additional Info

NDIS number & plan type

Contact #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

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*

Birth Date*

Additional Info

Education setting: Specialist, mainstream, homeschooled or other*

School Grade

Neurodiversity, Diagnoses, & Support Needs*

Support Strategies & Preferences

Allergies and medical conditions: Anything we should be aware of (e.g. asthma, allergies)

Current medications (if applicable)

Gender*

Preferred name

Sensory preferences

Communication preferences

Interests and strengths

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Education setting: Specialist, mainstream, homeschooled or other*

School Grade

Neurodiversity, Diagnoses, & Support Needs*

Support Strategies & Preferences

Allergies and medical conditions: Anything we should be aware of (e.g. asthma, allergies)

Current medications (if applicable)

Gender*

Preferred name

Sensory preferences

Communication preferences

Interests and strengths

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Education setting: Specialist, mainstream, homeschooled or other*

School Grade

Neurodiversity, Diagnoses, & Support Needs*

Support Strategies & Preferences

Allergies and medical conditions: Anything we should be aware of (e.g. asthma, allergies)

Current medications (if applicable)

Gender*

Preferred name

Sensory preferences

Communication preferences

Interests and strengths

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Education setting: Specialist, mainstream, homeschooled or other*

School Grade

Neurodiversity, Diagnoses, & Support Needs*

Support Strategies & Preferences

Allergies and medical conditions: Anything we should be aware of (e.g. asthma, allergies)

Current medications (if applicable)

Gender*

Preferred name

Sensory preferences

Communication preferences

Interests and strengths

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Additional Info

Education setting: Specialist, mainstream, homeschooled or other*

School Grade

Neurodiversity, Diagnoses, & Support Needs*

Support Strategies & Preferences

Allergies and medical conditions: Anything we should be aware of (e.g. asthma, allergies)

Current medications (if applicable)

Gender*

Preferred name

Sensory preferences

Communication preferences

Interests and strengths

Please click on the Select Class button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Jackrabbit Technologies' class management platform & registration portal is trusted by 1000s of
dance studios , gyms , swim schools , music schools , cheer gyms , childcare centers , and more .

Registration

Referral Information

Account 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

Required Policies

(Show-Hide Details)