New Student Preliminary Registration
Please fill out the form below.  Within 2 days or receiving your form, it will be reviewed and we will follow up by emailing you the full registration packet. If you do not receive it, please check spam and contact us for a resend if needed.
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Email *
Student's First & Last Name *
Parent's First & Last Name (if student is under 18)  Answer N/A if student is over 18 *
Student's Date of Birth: *
MM
/
DD
/
YYYY
Mobile Number *
Please select gender  *
Classes you are registering for... check all appropriate boxes *
Required
Are you looking to attend classes in Long Island or Queens? *
Required
If you have any other questions, feel free to contact us or leave your message here.
Note: Registration is NOT complete... after submitting this form you will receive an email within 1-2 days with a full registration packet specific to the classes you have checked above.  If you do not receive it, please check spam or email admin@vivartaarts.com and we will resend the forms. *
Please type your name below - this will be your electronic signature *
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