[Mission Statement] [School Policies & Artistic Guidelines] [General Information and Rules] [Dress Code]
 [Calendar & General Rules] [Parties] [Hip Hop] [Camp] [Curriculum] [Tuition and Showcase Fees] [Schedule]
 [About Our Director] [Letter from Director] [About Our Staff] [Showcase] [The Company] [FAQs] [Registration] [Home] 

Today’s Date

Month

Day

Year

Student’s Last Name

Student’s First Name

Date of Birth

□  Male                      □  Female

Address              

City

State

Zip Code

Home Phone

Mobile Phone

Parents’ Names

Parents’ Office Phones

Email Address

Pediatrician’s Name

Pediatrician’s Phone

Medical Alert or Special Needs

Siblings Also Attending PSB

Caregiver’s Name

Classes you wish to register for:

       DAY

TIME

AGE GROUP

TYPE OF CLASS

First class weekly

Second class weekly

Third class weekly

Registering For

□  Full Year

□  Fall Semester

□  Spring Semester

Form of Payment

□  Check

□  Money Order

□  MasterCard

□  VISA

Card #

Expiration Date

Amount of Payment $

Signature

FOR SCHOOL USE

How did you hear about us?