On-Line Registration - The Studio Director

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Thank you for choosing the American Theater Dance Workshop - if you have any questions about your enrollment please call or contact the office at: (516) 248-6420 or info@americantheaterdance.com

Contact Information

Please enter the contact info for who will be paying the bill. If the student is a minor, please enter the guardian's contact info.

First Name(s) *
Last Name *
Address 1 *
Address 2
City *
State *
ZIP *
*


E-mail/Login *		(for example: myname@gmail.com)
Additional E-mails		(for example: myson@gmail.com, mydaughter@yahoo.com)

Yes, send me e-mails related to my account payments, class confirmations, class reminders, canceled classes, etc. See our privacy policy for how we safeguard your information.

Password

Please make a note of your e-mail/login above and the password you enter below. They will be used to log into your account in the future.

Password *
Re-type Password *

How did you hear about us?


More Details

Emergency Contact Information

Who should we contact, other than the contact listed above, in case of an emergency?

Emergency Contact Name(s)
Emergency Contact Phone(s)

* = Required Fields

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