SUMMER 2024  | Registration Form
June 3rd-August 3rd

Please fill out and submit ONE form per student.

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Have you paid your registration fee? *
Required
Are you a Homeschooler who is a member of Harmony Educational Services and can take FREE classes at PSOTA? If not, stop here and contact them right away at www.harmonyed.com and then come back and register for your classes. *
Required
Student Full Name *
Student Birthday
Name of Month / 00 / 0000
*
Age *
Year in School
e.g. Kindergarten, Grade 5, Sophomore, etc.
School (If applicable)
Cell Phone Number of Student *
(xxx) xxx-xxxx
Parent/Guardian Names
If minor.
Cell Phone Numbers of Both Parents/Guardians (if minor)
 (xxx) xxx-xxxx
Email Addresses *
Full Address
Street, City, State, Zip
*
How did you hear about us? *
I will download and bring my waiver to my first class. *
I understand that by filling out this form I am COMMITTING to this registration and will NOTIFY PSOTA when I can no longer attend classes. *
Required
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