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Step 1 of 2: Add Participant Information
Please fill in the information for all of the participants that will be attending the selected classes in the cart.
* Denotes required field
First Name: *
Middle Name: 
Last Name: *
Address: *
Address 2: 
City: *
State: *
Zip: *
Foreign Zip: 
Country: 
Email: 
Day Phone: *
Night Phone: 
Same as  Day
Home Phone: *
Same as   Day | Night
Other Phone Numbers: 
Phone #
Which # is this (e.g. Mom's work)
 
Describe Special Needs (Disability, Allergies, and Other Notes)
Customer Type: 
Gender: *
Age Group: *
Grade: *
Classroom Teacher: 
Birth Date: *
Instrument: 
Shirt Size: 
Bus number to school: 
Pick-up Person (if other than the parent)
Pick-up Person's name: 
Relationship to the student: 
PAYMENT INFORMATION

If sending payment to school with your child, please put it in an envelope marked "Community Ed".
Payment Method: 
Name on Card: 
Card Number: 
Exp Date: 
Code: 
Email Preference: 
Yes! I want to receive news and promotion updates