Philly PACK Registration Form

Please submit the following information along with a $25 registration fee via PayPal.

After completing this form, you will be redirected to a link to pay your registration fee.

Ms. Jess will email you a confirmation within 24 hours. If you do not receive a confirmation email, please contact Ms. Jess at philly.pack.studio@gmail.com Email Ms. Jess if you prefer to mail in your registration fee.

* Required

Student's Name: *

This is a required question

Age: *

This is a required question

Grade: *

This is a required question

School: *

This is a required question

Teacher: *

This is a required question

Parent / Guardian: *

This is a required question

Phone: *

This is a required question

Email: *

This is a required question

Mailing Address: *

This is a required question

Emergency Contact: *

This is a required question

Classes Registering For: *

This is a required question

Please add my child to the afterschool pick-up roster: *

This is a required question

Years Dancing?

This is a required question

Years Acting?

This is a required question

Years Singing?

This is a required question

Other previous performance experience?

This is a required question

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