REGISTRATION FORM
$25.00 fee to register- new students only
Print form and mail to:
813 Highland Avenue, Greensburg, PA 15601
or
Email info to:
If you wish to have a registration form mailed to you, contact Joy at 724-832-7391
Registration fee is due on or before the first class of the session. It can be mailed with form, paid for on the first attended class or made through the online payment link (found on the left hand side of this page)
Student's name: ______________________
Parent or Guardian: ___________________
Address: ____________________________
____________________________________
Home Phone: _________________________
Cell Phone: ___________________________
Email Address: _________________________
Student's Birthdate: ______________________
Class Level: _____________________________
If Level 1 student
Day: ________________ Time:______________