Pre-Paid Registration, Fall 2020 Performing Arts Fall 2020 Performing Arts Class Pre-Paid Registration Use this form to register a student for any number of our exciting fall classes! Select as many classes as you wish for one student. 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 ClassesRemember you can 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.Performing Arts Fall 2020 Classes* 3in1 Acting/Singing/Dancing ages 10+ 3in1 Acting/Singing/Dancing ages 7-9 Acting Comedy ages 10+ Acting Comedy ages 7-9 Acting for Adults Broadway Beginners, ages 4-6 Broadway Obsession: Hamilton ages 11+ Broadway Obsession: Hamilton ages 8-10 Commercials & "Self-Tapes" ages 10+ Commercials & "Self-Tapes" ages 7-9 Disney Extravaganza ages 6-8 Intro to Hip Hop Dance ages 10+ Intro to Hip Hop Dance ages 7-9 Monologue Workshop ages 15-18 Monologue Workshop ages 11-14 Stories in Motion ages 3-5 How did you hear about our fall classes?Promotional Material Permission*May Elefante Music & School for the Performing Arts use photographic images and sound bites of this student for promotional material?YesNoMailing List Sign up for Elefante Music's mailing list and stay informed on future classes! TotalReview your total. By selecting the Register button you agree to charge your credit card this amount. $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Security Code Cardholder Name Please click REGISTER ONLY ONCE (do not double click). If you receive an error message, email email@example.com.