Holiday 2020 Performing Arts Class Registration Holiday 2020 Performing Arts Class Registration Use this form to register a student for either of our fun 3-week holiday group classes! If you need to register more than one student, please submit a separate registration. Student's Name* First Last Student's Age*Parent/Guardian's Name* First Last Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*Email* 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.Select Your ClassClick on any class or check the box next to it to add it to your registration.Holiday 2020 Classes* Holiday Movie Musical Extravaganza Holiday Broadway Obsession How did you hear about our holiday classes? Promotional Material Permission*May Elefante Music & School for the Performing Arts use photographic images and sound bites of this student for promotional material? Yes No Mailing List Sign up for Elefante Music's mailing list and stay informed on future classes! No thanks TotalReview your total. By selecting the Register button you agree to charge your credit card this amount. Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Security Code Cardholder Name Please click REGISTER ONLY ONCE (do not double click). If you receive an error message, email email@example.com.