Application

Director - Wendy Russell

Phone # (954)-438-2075

E Mail - MissWendy@FloridaSuperStars.com

The information below to register.

Child's Name:

 Child's age:

 Parents name:

 Phone number:

 email address :

 home park selected from the list above (copy & paste from class schedule)

 Visa or master Credit card  number to charge the $25 registration fee. The monthly tuition will not be charged until you arrive for your first class.

 Card #

 Card expiration date:

 How did you hear about us?

 You will receive a confirmation of registration via e-mail