Please fill out all information
to register for classes.


**After you submit this registration form it will bring you to the payment page. There you can pay the registration fee and the classes fees.


* = Required Fields


Student Name*
Student Birthday*
Parents Name*
Legal Guardian*
Contact/Billing #*
Cell/Other Emergency Contact #*
Street Address*
State *
Zip Code *
People Allowed to Pick your Child up*
Students Academic School*
Student Allergies*
Email address*
Please initial here to to agree to the release statement*
Comments
By clicking submit and initialing above You will agree to release Mazza-Smith Studio of the Performing Arts, Inc and their affiliated entities from any and all liability, claims, demands and causes of action for personal injury , property damage, and/or other loss suffered in connection from class, rehearsal, performance and participation at either the facility of Mazza-Smith or other locations occupied. You also give unrestricted use of all photographs, videotape, and films by Mazza-Smith Studio of Performing Arts, Inc. for advertising and promotion purposes only. You have also recieved and understand all policies provided by Mazza Smith Studio.