Spring 2023 Registration Form for Everett Karnas

Spring 2023 Performing Arts Registration for Everett Karnas

Student's Name(Required)

First Last

Student's Age(Required)

Parent/Guardian's Name(Required)

Christen Simmons

Address(Required)

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

Email(Required)

Phone(Required)

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 Spring 2023 Classes

Select 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.

Broadway Beginners

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

Mailing List Opt-In

No, thanks

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Hidden

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.