Online Registration

Gloria Frances School of Performing Arts

Online Registration

Welcome to the online registration. Please fill out the registration form below and be sure to click submit. Once your registration is processed, you will receive a confirmation email.

REGISTRATION WILL NOT BE COMPLETE UNTIL $25.00 (non-refundable) REGISTRATION FEE IS PAID.

Student Information

Students Name:

Address:

City & State:

ZipCode:

Home Phone:

Cell Phone:

Email Address:

* required

Parent/Guardian Name:

BirthDate:

Age:

Medical information we should know?:

Course(s) Desired

First Subject:

Class or Day Preferred:

Second Subject:

Class or Day Preferred:

Third Subject:

Class or Day Preferred:

Forth Subject:

Class or Day Preferred:

Fifth Subject:

Class or Day Preferred:

Payment

Credit Card (Visa/MC/Discover):

Exp.Date:

* required

* required

You agree to the terms stated in 2011-12 brochure.

Gloria Frances School of Performing Arts
2124 Hamburg Turnpike
Wayne, New Jersey 07470

973-835-3304

Fax- 973-835-3389

"Educators in the Art of Dance Since 1963"