Registration
Summer Adult Ballet Boot Camp - Saturday
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Relation to Student*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
PAB Covid-19 Vaccine Policy
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I've read the above and agree.
 
PAB Guidelines for Healthy & Safe Operation of SPB: Part 1
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PAB Guidelines for Healthy & Safe Operation of SPB: Part 2
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COVID Liability Waiver
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COVID Agreement
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Tuition, Registration, & Preauthorization
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I've read the above and agree.
 
Photo Consent
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I've read the above and agree.
 
Medical Consent and Liability Waiver
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I've read the above and agree.
 
Authorization for Substituted Consent and Emergency
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*