Registration
Already a customer? Click here to login.
Thank you for registering for APA's Summer Dance Camps! Please make sure you indicate which dates and times you are signing up for in the comment box. After you submit your registration a representative from APA will process your registration and payment. Once this is done you will receive a confirmation email to the email address you provide during on this form. If you do not get your confirmation within 24 hours, please contact us at outreach@academywi.com. (Please note: registrations are not processed on Saturday after 12PM and all day on Sunday, as we are closed). Please note: The date and time listed on this form is NOT representative of the class(es) you are signing up for. Once we process your registration you will get a confirmation email with the dates of your child(ren)'s classes based off of what you indicate on the registration form. Each camp is 1 hour long and includes: learning a dance, story time, coloring and free gift Thank you!
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Doctor/Physician
Father
Grandparent
Guardian
Mother
Other
Parent
Self
Step Father
Step Mother
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Emergency Contact Info
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
EVENT ATTENDED:
Is your student a beginner?:
Piano or Voice? (music lesson):
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
EVENT ATTENDED:
Is your student a beginner?:
Piano or Voice? (music lesson):
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
EVENT ATTENDED:
Is your student a beginner?:
Piano or Voice? (music lesson):
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
EVENT ATTENDED:
Is your student a beginner?:
Piano or Voice? (music lesson):
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Non-Binary
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
PROMO CODE:
EVENT ATTENDED:
Is your student a beginner?:
Piano or Voice? (music lesson):
Questions/Options:
Child's Name (First and Last)
*
Child's Age; D.O.B.
*
Does your child have any allergies, medical conditions or learning disabilities we need to know about?
*
Please list the Summer Dance Camp dates/times you are signing up for.
*
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number:
*
Visa
Mastercard
Discover
Name as it appears on card:
*
Nickname:
Card Expiration Month:
*
01
02
03
04
05
06
07
08
09
10
11
12
Exp Year:
*
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
Address Line 1:
Address Line 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
*
Please Wait...