Exalt 2018
Brochure
Student Registration
Tuition Payment
About Exalt
Contact
2017 Gallery
2016 Gallery
2015 Gallery
2014 Slideshow
2013 Exalt Gallery
2012 Exalt Gallery
2011 Exalt Gallery
Exalt
** Registration for Exalt 2018 is now Closed **
Step 1: Submit Registration Information Below
Step 2: Proceed to the Tuition Payment tab for payment information.
You will need to submit a separate registration form
for each student.
Exalt 2018 Registration
*
Indicates required field
Student Name
*
First
Last
Select One (Male or Female)
*
Male
Female
Parent's Name or Legal Guardian
*
First
Last
Parent's Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Primary Phone Number
*
Other Phone Number
*
Email Address
*
T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2X
Age as of 7/23/18
*
Date of Birth (MM/DD/YY)
*
Will participate in program on July 27th at 1:30p.m.?
*
Yes
No
Who in addition to parents is authorized to pick up your child? (Verification required by parent on 1st day of camp)
*
First
Last
Other authorized to pick up:
*
First
Last
FOOD or OTHER ALLERGIES? (please list or "none")
*
Dance/Drama/Music/Art Experience: Years/Type
*
Church Student Attends?
*
------------------------------------------------------------------------------------------------------------------------
Rate your interest in each area below:
Please Note that all students receive some form of dance instruction, Bible study and crafts. Note also that you are not signing up for particular classes, but assisting us with scheduling and group placement.
NO CLASSES ARE GUARANTEED
.
Art
*
Choose from list
Very interested
Moderately interested
Not interested
Articles of Worship (flags/streamers/banners/pagentry/royal & sanctuary articles)
*
Choose from list
Very Interested
Moderately Interested
Not Interested
Dance
*
Choose from list
Very interested
Moderately interested
Not interested
Dance styles most interested in:
*
Contemporary/Jazz
Folk/Cultural
Hip Hop
Lyrical/Ballet
Drama/Mime
*
Choose from list
Very interested
Moderately interested
Not interested
Music - instrumental/rhythm
*
Choose from list
Very interested
Moderately interested
Not interested
Music - A cappella singing
*
Choose from list
Very interested
Moderately interested
Not interested
Karate (Savior Martial Arts)
*
Choose from list
Very interested
Moderately interested
Not interested
Praise Band - Ages 10 & up Only
*
Choose from list
Very interested
Moderately interested
Not interested
Not applicable
If interested - list instrument/vocals and experience
*
--------------------------------------------------------------------------------------------------------------------------
Additional comments, notes & special requests
*
After you select the "Submit Registration" button below,
look for the confirmation window to verify your information has been submitted.
If you have not received a confirmation email from us within three days after submitting your registration, or if you have any questions, please contact us at
[email protected]
.
Submit Registration