Home
Create Account
Contact Us
Sign In
Create Account
*
Username
*
Password
*
Primary E-mail
Secondary E-mail
*
Name
Nickname
*
I am
Adult Registering for classes
Guardian registering Children
Guardian registering Children and also as Adult Student
*
Date of Birth
Student
Nickname
*
Date of Birth
Medications or
Medical Instructions
More
Less
*
Address 1
Address 2
*
City
State
Zip
*
Mobile Phone#
Emergency Contact Phone#
Primary Phone
Mobile Phone#
Emergency Contact Phone#
Work Phone
Notes
AFTER SCHOOL PROGRAMS ONLY: Where does your child go after school? (ex: day care, picked-up, walks home)
AFTER SCHOOL PROGRAMS ONLY: What is your child's grade and teacher's name?
How did you hear about us?
Please Select...
After School Program
Friend
FUNKMOBILE
Internet Search
Other
Public Performance
Returning Student
Social Media
Yelp
*
Security Code
*
- required fields
Sign
Resign
Please sign "
Release
"
Use your mouse or finger to draw your signature in the box.
By checking this box, I agree to the use of my signature for the purpose of showing that I agree to the terms.
Click to Sign
Create Account
Reset Password
Return Back
*
Email
*
Security Code
*
- required fields
Reset Password
Contact Us
FUNKMODE
1440A FRANQUETTE AVENUE
CONCORD, CA 94520
8883865663
*
Your Name
*
Your Email
Your Phone
*
Message
*
Security Code
*
- required fields
Send
Sign In
Sign In
Forgot your username or password?
Don't have an account? Register Here
Please confirm
×
Warning
×
...