Miss Shona's Performing Arts Center Online Registration

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Register below for Miss Shona's Performing Arts Center's programs! Please be sure to click "Submit" at the bottom of this page.

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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*

Zip*

Primary Phone*

Additional Info

Emergency Contact Name, Relation & Number<br/>(Please provide a non-parent contact)*

Contact #1

Parent/Guardian First Name*

Last Name *

How Can We Contact You?

Home Phone

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Additional Parent/Guardian First Name

Last Name

How can we contact you?

Home Phone

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

School

Grade Level*

Medical and/or Social Conditions
(including ADHD, Social Anxiety, etc)

Allergies
(Please include severity and medication needed)

Medications
(including Inhaler, Anti-Depressants, etc)

Please click on the "Select Class" button below to choose your classes. You can use the search icon to filter by session, days, age, etc.
2023-2024 Payment Plans can be found HERE

Please e-mail shona@missshona.com if you need help selecting classes.

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

School

Grade Level*

Medical and/or Social Conditions
(including ADHD, Social Anxiety, etc)

Allergies
(Please include severity and medication needed)

Medications
(including Inhaler, Anti-Depressants, etc)

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

School

Grade Level*

Medical and/or Social Conditions
(including ADHD, Social Anxiety, etc)

Allergies
(Please include severity and medication needed)

Medications
(including Inhaler, Anti-Depressants, etc)

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

School

Grade Level*

Medical and/or Social Conditions
(including ADHD, Social Anxiety, etc)

Allergies
(Please include severity and medication needed)

Medications
(including Inhaler, Anti-Depressants, etc)

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

School

Grade Level*

Medical and/or Social Conditions
(including ADHD, Social Anxiety, etc)

Allergies
(Please include severity and medication needed)

Medications
(including Inhaler, Anti-Depressants, etc)

Enroll in Classes

Select Class

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Questions or Concerns

Comments

Payment Information

Account Information

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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

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Student #2 (Show-Hide Details)

Additional Info

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Student #3 (Show-Hide Details)

Additional Info

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Student #4 (Show-Hide Details)

Additional Info

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Student #5 (Show-Hide Details)

Additional Info

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