New WAP Registration Form (2025)

NEW PEARL REGISTRATION
WAP Fees
Child's Name

First NameLast Name
Child's Date of Birth

MonthDayYear
Date
Parent's / Guardian's Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Email 2
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Name of School
Grade-
Personality: Strengths / Challenges
Ex: Strengths: Caring, athletic / challenges: Fear, communication
Please choose your Child's T-Shirt size below.
How did you hear about us?
Girls Empowerment & Performing Arts Program
PEARL Empowerment Programs
Talented and Poised Productions
Pearls On Pointe
COMBINED PROGRAMS
(discounted)
Transportation services
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New Pearl Registration$75.00

Total $0.00

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NEW PEARL REGISTRATION