Registration Form

Adult responsible for registration and billing:

* Indicates required field

Name *

First

Last

Relationship *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

What other adults can be contacted if the student needs to be picked up from the studio?

Name *

First

Last

Phone Number *

If this contact would like to receive studio updates through email please provide the address: *

Name *

First

Last

Phone Number *

If this contact would like to receive studio updates through email please provide the address: *

Student Information:

Name *

First

Last

Birthdate (mm/dd/yr) *

Current Grade Level *

Gender: *

Allergies or Concerns *

Name *

First

Last

Birthdate (mm/dd/yr) *

Current Grade Level *

Gender: *

Allergies or Concerns *

Name *

First

Last

Birthdate (mm/dd/yr) *

Current Grade Level *

Gender: *

Allergies or Concerns *

Name *

First

Last

Birthdate (mm/dd/yr) *

Current Grade Level *

Gender : *

Allergies or Concerns *

Studio Policies:

We frequently take photographs and videos during class. Do we have permission to use your child's photo in our advertising or class emails?

Please Respond: *

Sure! No Thanks.

Please type your name below to serve as your legal signature.

Signature *

Submit

YOUR CART

Register for Classes

Adult responsible for registration and billing:

Student Information:

Studio Policies:

YOUR CART

​Register for Classes

Adult responsible for registration and billing:

Student Information:

Studio Policies:

Register for Classes