JBY Academy & Performing Arts Conservatory™
nonprofit arts education & academic enrichment school
Registration Form
JBY's Summer Enrichment Programs 2024
Child's Name
First Name
Last Name
Parent's/Guardian's Email (for those under the age of 18/minors)
example@example.com
Child's Age
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Child's Current Grade
Parent's/Guardian's First and Last Name
Parent's/Guardian's Home Phone number
Which summer program are your registering for?
Please Select
Acting & Creative Writing Class (held virtually on Wednesdays at 3 p.m.)
Animation Filmmaking Class (held virtually on Wednesdays at 5 p.m.)
JBY's Confident Girls Mentoring Club (meets in person on Tuesdays & Thursdays at 6:30 p.m. at a local library in either Easton, Bethlehem, or Allentown, PA)
Session registering for...
Please Select
This Summer 2024 (Programs run from August 14 through August 28, 2024)
Parent/Guardian Cell number
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How did you hear about this JBY program?
Please Select
Email invitation
Social Media (Facebook)
Social Media (TikTok)
Social Media (Instagram)
YouTube Ad
Google/Web Search
Word of Mouth/Referral
Has your child ever participated in a previous JBY workshop or program?
Please Select
Yes
No
Interested in JBY Volunteering?
Please Select
Yes
No
Parent's and Caretakers are encouraged to occasionally volunteer. If you would like to volunteer we will send you a separate volunteer registration. We appreciate you.
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Can you please briefly share what you hope your child will gain by participating in the program(s) you selected? Thank you! We will be in touch soon with your registration membership payment link and finalization of your registration.
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Submit
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