ASHIRA Registration: Fall 2024 NMB
If you're signing up more than one child, please fill out a form for each one.
Childs Name
*
First Name
Last Name
Child's Info
*
Grade
School
Parents Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
What neighborhood do you live in?
*
Please Select
North Miami Beach
Miami Beach
Aventura
Hollywood
Surfside
Other
Is There Anything I should Know About Your Daughter?
Which Group Would You Like To Join?
*
Please Select
Monday: Grades 2-3 5:00 - 5:50 PM
Monday: Grades 6-8 7:00 - 7:50 PM
Monday: Grades 9-12 8:00 - 8:50 PM
If you're interested in private voice lessons with Sarah, please let us know.
Interested
Sponsorships: We want to be able to accommodate every girl! If you can help sponsor a girl from our community, your generosity will have a big impact.
I would like to help out, please reach out to me.
How would you like to pay?
*
Zelle (+17187876771)
Venmo (@sarah-florans)
Credit Card (Enter Info Below)
Cash or Check
For Credit Card Payment - Only (If you're paying with Zelle/Venmo, don't select an option).
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One Child
$
325.00
Quantity
1
2
3
4
5
6
7
8
9
10
Two Children
Re-fill out the form and check out with this option.
$
600.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: