Class Enrollment Please fill out the registration form, below: Fall 2023 Performing Arts Registration Student's Name(Required) First Last Student's Age(Required)Parent/Guardian's Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email(Required) Phone(Required)Medical/EmotionalIf 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 2023 ClassesSelect Your Classes(Required)Select as many as you like for one student! Click on any class or check the box next to it to add it to your registration. All group classes are held in our New Providence location. All classes shown below still have slots available (filled classes have been removed from the list). 3in1 Acting-Singing-Dancing ages 7–9 (90-minute class) Acting Comedy Ages Ages 7–9 Acting Comedy Ages Ages 10+ Acting from the Script ages 10+ Broadway All-Stars Ages 10+ Broadway Beginners Wednesdays Ages 4–6 Broadway Obsession Sing/Dance/Act Ages 7–9 Broadway Obsession Sing/Dance/Act Ages 10+ Cabaret Workshop ages 15–Adults Creative Drama for Kids ages 4–6 Pop! Goes the Musical ages 9–12 (90-minute class) Tap and Sing Ages 6–8 How did you hear about these classes? May Elefante Music & School for the Performing Arts use photographic images and sound bites of this student for promotional material?(Required) Yes No Mailing List Opt-In Sign up for Elefante Music’s mailing list and stay informed on future classes! No, thanks Code of Conduct and Core Values(Required)Elefante Music and School for the Performing Arts maintains a high standard of educational excellence. As such, we require that all students in our school facilities and/or attending lessons, classes, camps, or similar activities read and adhere to our Code of Conduct and Core Values, which can be viewed VIA THIS LINK. After reading, hit the back arrow(s) to return to this form. I have read and agree that my child will comply with Elefante Music’s Code of Conduct and Core Values.Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name HiddenDate MM slash DD slash YYYY CAPTCHAClick “Register” ONLY ONCE. Do not refresh your browser. If you click “Register” and receive an error message, do not click again. Email email@example.com and we will check the status of your registration.