Studio 3 Performing Arts Academy Online Registration

Registration

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Welcome to the Studio 3 Performing Arts Academy Family! Please complete the following registration form. You will receive a confirmation email after pressing submit. YOU MUST INCLUDE A CREDIT CARD NUMBER, BUT IT WILL NOT BE CHARGED UNTIL REGISTRATION IS REVIEWED BY OFFICE STAFF. Please allow up to 2 business days to process your registration. If you have questions, please call us at (480) 545-1492 or email info@studio3arts.com.

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Referral Information

How did you hear about us?*

Referral Name

Family Information

Family/Account Name Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Additional Info

Emergency Contact Info*

Health Insurance Carrier

Cell phone provider (for SMS)

Coupon Code (if applicable)

Contact #1

Primary Account Holder First Name*

Last Name *

Relationship to Student*

How Can We Contact You?

Home Phone

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

Other Parent/Guardian First Name

Last Name

Relationship to Student

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email (for newsletters & updates)

T-Shirt Size

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

You may filter class options by yearlong, workshop sessions, and private lessons by using the category 2 filter. If you wish to register for more than 5 classes you may add more after initial registration.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email (for newsletters & updates)

T-Shirt Size

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email (for newsletters & updates)

T-Shirt Size

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email (for newsletters & updates)

T-Shirt Size

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Cell #

Additional Info

Student Email (for newsletters & updates)

T-Shirt Size

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

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*

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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

Credit Card

Required Policies

(Show-Hide Details)