Superstars Performing Arts Online Registration Form 2007-2008

Fill out the form below completely and submit. We will contact you.

Before your registration can be validated you will need to make payment to the
Superstars and provide a signed release form and emergency contact form.

Last Name Mother’s Name
Home Phone Work Phone
Cell Phone Employer
Home Address Father’s Name
City Work Phone
Zip Employer
 
In the text box below please list the classes, class times and days that you are interested in.
 
E-mail address - (Newsletter will be sent monthly) Required Field Person(s) responsible for payment if different from above
   
 
Student #1
First Name Last Name
M F Age: Birth date: Grade (fall 2007):
Student #2
First Name Last Name
M F Age: Birth date: Grade (fall 2007):
Student #3
First Name Last Name
M F Age: Birth date: Grade (fall 2007):
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