3-in-1 Wait List Authorized Registration

Student's Name(Required)

First Last

Student's Age(Required)

Student's Date of Birth(Required)

Parent/Guardian's Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

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Medical/Emotional

If you feel that our faculty could better serve the student by being made aware of any medical or emotional issues, please explain below. All such information will be kept strictly confidential.

Performing Arts Fall 2025 Classes

Select Your Classes(Required)

Click on the box next to the class to add it to your registration. All group classes are held in our New Providence location.

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How did you hear about these classes? If you were referred by an Elefante customer, please enter their first and last name and any contact info you have so we can thank them.

May Elefante Music & School for the Performing Arts use photographic images and sound bites of this student for promotional material?(Required)

Yes

Mailing List Opt-In

No, thanks

Total

Credit Card(Required)

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Card Number

Expiration Date

Security Code Cardholder Name

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Registration Date

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If you click “Register” and receive an error message, do not click again. Email karen@elefantemusic.com and we will check the status of your registration.