Pegasus Studios Online Registration

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We are happy to announce that we now accept Visa Debit and MasterCard Debit in addition to Visa and MasterCard. Visa Debit and MasterCard Debit cards automatically deduct the money from the cardholder’s bank account.

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Referral Information

How did you hear about us?*

Referral Name*

Family Information

Student's Last Name*

Where do you live?

Home Address*

City*

State/Prov*

Postal Code*

Primary Phone*

Additional Info

Contact #1

Primary Contact First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Secondary Contact First Name

Last Name

Type*

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email- if different from contact

Health Concerns (Leave blank if NONE)

Special Needs (Leave blank if NONE)

For September classes, ages are based on the student's year of birth. Ages are a guideline only. All class placement will be at studio discretion.

For Childhood Expressions Pre-School program the child must be at least 30 months at September 1st.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email- if different from contact

Health Concerns (Leave blank if NONE)

Special Needs (Leave blank if NONE)

For September classes, ages are based on the student's year of birth. Ages are a guideline only. All class placement will be at studio discretion.

For Childhood Expressions Pre-School program the child must be at least 30 months at September 1st.

Enroll in Classes

Select Class *

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email- if different from contact

Health Concerns (Leave blank if NONE)

Special Needs (Leave blank if NONE)

For September classes, ages are based on the student's year of birth. Ages are a guideline only. All class placement will be at studio discretion.

For Childhood Expressions Pre-School program the child must be at least 30 months at September 1st.

Enroll in Classes

Select Class *

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email- if different from contact

Health Concerns (Leave blank if NONE)

Special Needs (Leave blank if NONE)

For September classes, ages are based on the student's year of birth. Ages are a guideline only. All class placement will be at studio discretion.

For Childhood Expressions Pre-School program the child must be at least 30 months at September 1st.

Enroll in Classes

Select Class *

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email- if different from contact

Health Concerns (Leave blank if NONE)

Special Needs (Leave blank if NONE)

For September classes, ages are based on the student's year of birth. Ages are a guideline only. All class placement will be at studio discretion.

For Childhood Expressions Pre-School program the child must be at least 30 months at September 1st.

Enroll in Classes

Select Class *

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Please fill out CREDIT CARD Payment Method

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

Country *

City

State/Prov*

Postal Code*

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Transit # (5-digits)

Institution ID (3-digits)

Account Number

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

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