Fine Arts Registration

Student Name*
First Last
Email Contact*

Can be email of student or parent
Student School*
Student Date of Birth*
Date Format: MM slash DD slash YYYY
Student Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Phone*
Secondary Phone
Parent/Guardian*
First Last
Alternate Parent/Guardian
First Last
If student will be picked up or dropped off by more than one person, please put name below.
Other Information (ie: allergies)
Class Selection
Please select the type of class you wish to take
Group Dance Classes - Fall 2020
Adult Group Classes - Fall 2020

Class Selection