<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> Pittsburgh Fashion Academy - Registration Form

Pittsburgh Fashion Academy - Registration Form

Name:
           
Parent's Name if Registering a child:
           
Child's Age Child's Birth Date:
           
Address:
 
           
City: State: Zip:
           
Email:
           
Home Phone:
           
Work Phone:
           
Course Title:
           
           
           
           
Start Date: Fee Total:
           
Start Date: Fee Total:
           
Start Date: Fee Total:
           
           
    Total:
           
I have read and understand the registration process and the refund/cancellation policy:
(Please initial):        

PHONE: 412.719.2823 or 412.325.7606 • E-MAIL: erin.pfa@gmail.com