AJS Pancott Registration
Please complete all required fields. This is a preliminary registration, pending confirmation. You will be contacted via email to confirm availability in the class, and to send you an official registration form. Your spot(s) in class are not confirmed until we receive the completed registration form as well as at least the $25 registration fee.
Parent Last Name *
Your answer
Parent First Name *
Your answer
Parent Email Address *
Your answer
Parent Phone Number *
Your answer
Student Last Name(s) *
Your answer
Student First Name(s) *
Your answer
Student Gender(s) *
Your answer
Student Birthdate(s) *
MM
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DD
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YYYY
Student Age(s) *
Your answer
How did you hear about us? *
What session are you registering for? ** Note that students can start mid-session and will be prorated. ** *
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