Welcome your family customer portal! Please take the time to PRE-REGISTER YOUR ENTIRE IMMEDIATE FAMILY. There is a $20 registration fee for all students who enroll after the final month of the previous semester. You are welcome to TEST ANY CLASS FOR FREE!!! If you are interested in testing a class, please enroll in the class.

If you already have a Parent Portal account, please visit the logon page.

Please indicate your registration type:

I am a student enrolling in classes at Leavitt Center.

I am a parent/guardian and I am enrolling my children in classes.

I would also like to be able to enroll in classes.

Please enter in your name and mailing address:

Parent First Name:

Parent Last Name:

Address 1:

Address 2:

City:

State/Province:

Zip/Postal Code:

Please enter in your contact information:

Email Address 1:

You will use this email address to log into the Leavitt Center Customer Portal.

Email Address 2:

Phone 1:

Phone 2:

Please add any additional family members:

Additional Family Members

Family Member #1:

First Name:

Last Name:

Birth Date:

School:

Gender:

Family Member #2:

First Name:

Last Name:

Birth Date:

School:

Gender:

Family Member #3:

First Name:

Last Name:

Birth Date:

School:

Gender:

Family Member #4:

First Name:

Last Name:

Birth Date:

School:

Gender:

Please enter in a password to access the Parent Portal:

Password:

Confirm Password:

Please enter in the characters below so we know that you are a real person:

Data Validation:

AGREEMENTS:

Automatic Payment and Privacy Policy:

Starting January 2015 we require either a payment in full or secured automatic billing with a debit or credit card. Please fill out the entire Automatic Payment Form and bring it to the office at the time of enrollment. At the time of enrollment the student will be enrolled for the ENTIRE DURATION OF EACH CLASS SEMESTER or YEAR (whichever applies) and agrees to pay all tuition and fees associated with the class. Student also agree to attend all scheduled practices, rehearsals, stage days, performances and any extra practices that are assigned by the instructor. In addition you are responsible for ALL PAYMENTS associated with the class even if the student drops out. (You may test the class one time before enrolling to make sure you are comfortable with the teacher and curriculum before enrolling)*

I accept that a LATE FEE of 20% of the total bill will be posted to my account if there is an insufficient payment before the First Friday of each month. Each month the charge will accrue until the bill is paid in full. Students who do not have current payments by the 5th day of the month will not be allowed to participate in classes, recitals or rehearsals until payments are brought current. We will not share personal marketing information to 3rd parties.

**Each student is REQUIRED to pay a $20 Registration Fee for Fall and Spring semester classes and $5 for Summer semester classes. SIGN UP DURING OUR EARLY BIRD PROMOTION OR JOIN OUR FAMILY PASS AND WE'LL WAIVE ALL REGISTRATION FEES.

I have read the "Payment Policies" and accept the terms.

Assumption of Risk, Release of Liability, Indemnity, and Medical Emergencies Agreement:

I, the minor's parent or legal guardian, understand the nature of the activities my child will be involved in at Leavitt Center, and the minor's experience and capabilities, and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activities.

I acknowledge that the Leavitt Center is NOT A DAYCARE and will not be responsible for the care and/or supervision of my child as determined by Idaho State Code.

I do hereby for myself, my heirs, executors, administrators, successors, and assigns release acquit, and forever discharge the Leavitt Center, owners, teachers, staff, employees and subcontractors, from any and every claim, demand, right, or cause of action, property damage, personal injury, costs, loss of service, expenses of any kind, and any compensation whatsoever, which I may ever assert by reason of my or my child's presence and or participation in Leavitt Center programs which might arise from natural, environmental, or weather condition, and from any and all claims which may arise from any use of equipment which might be attached to or near any structures or apparatuses on the premises, or used in conjunction with the Leavitt Center programs, and all clams which may arise out of the acts or omissions of other persons on the premises, whether directly connected to the Leavitt Center program or not. I hereby acknowledge that this RELEASE is voluntarily given with full knowledge of the meaning and consequences of this RELEASE.

As further consideration for participation in Leavitt Center activities, I do hereby for myself, my heirs, executors, administrators, successors, and assigns agree to indemnify and hold harmless the Leavitt Center and its insurers from all liability, loss, cost, claim or damage whatsoever which may be imposed upon the Leavitt Center resulting from its employees or agents. I will indemnify, save, and hold harmless each of the releases from any litigation expenses, attorney fees, loss liability, damage, or any cost that may occur as the result of any such claim.

In the event of an accident or emergency I hereby authorize me or my child to be transported to a hospital for medical treatment and I hold Leavitt Center and its representatives harmless in the execution of such. Additionally, I hereby agree to individually provide for all medical expenses which may be incurred by me or my child(ren) as a result of any injury sustained while participating at or for Leavitt Center.

I hereby authorize and allow the Leavitt Center to use my likeness or picture in any photograph or advertising for promotion for the Leavitt Center.

I have read and accept the terms of this Agreement.

Assumption of Risk:

I have read the centers "Privacy Policy"