Spring 2021 Performing Arts Class Registration Spring 2021 Performing Arts Class Registration Use this form to register a student for any number of our exciting spring 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 that 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* 3-in-1 Acting/Singing/Dancing Acting Comedy ages 8+ Commercials & Self-Tapes ages 8+ Disney Extravaganza ages 6-8 Disney's High School Musical Obsession ages 8+ Glee Obsession ages 10+ Monologue Workshop ages 8+ Sitcom Scene Study ages 8+ How did you hear about our spring 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 ListSign up for Elefante Music's mailing list and stay informed on future classes!No thanksTotalReview 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 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Security Code Cardholder Name Please click REGISTER ONLY ONCE (do not double click). If you receive an error message, email email@example.com.