PBG Academy Registration Form - Serrania
Pretty Brown Girl is dedicated to empowering Black and Brown girls. You are receiving this form because your student has an opportunity to participate in Pretty Brown Girl Academy at Serrania. Sessions will be held on Wednesdays from 2:35pm-3:35pm PST for 3rd-5th grade girls. If you have any questions completing the form, please contact LaTonya Reese at lwalton@prettybrowngirl.com.
Student Name
*
First Name
Last Name
Student Grade Level
*
Please Select
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student Email (if applicable)
T-Shirt Size
*
Please Select
Youth Small
Youth Medium
Youth Large
Adult Extra Small
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult 1XL
Adult 2XL
Adult 3XL
Please note that one complimentary T-Shirt will be provided for the student. All PBG T-Shirts come in unisex sizes with a looser fit. Please review the sizing chart below to ensure the correct size is selected before submitting this form. Exchanges will not be permitted.
Parent/ Guardian Name
*
Parent/ Guardian Email
*
Parent/ Guardian Phone
*
Relationship To Student
*
Please Select
Mother
Father
Stepparent
Grandparent
Aunt
Uncle
Other
If other, please share
Did you review the sizing chart before selecting the Student's T-Shirt size?
Yes
No
Do we have your consent for the student to participate in PBG Academy?
Yes
No
Do you agree to our Terms and Conditions?
*
Submit
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