Here you can add multiple students to your form if the contact information is the same for each of them.
Registering for the Fall semester only (14 weeks - 9/6/11 to 12/17/11)
Registering for the Winter/Spring semester only (18 weeks - 1/9/12 to 5/19/1)
Registering for the full school year (32 weeks - 9/6/11 to 5/19/12) Best value!
First Name
Last Name
Date of Birth
Medical Conditions
Classes
Private Music Lessons
Guitar
Piano
Voice
Monday
Intro to Piano (ages 5-7) 3:30-4:15pm
Youth Hip Hop (ages 7-9) 4:15-5:00
Pre Teen Hip Hop (ages 10-13) 5:00-6:00
Hip Hop III+ (Teen/Adult) 6:30-7:30pm
Hip Hop I/II (Teen/Adult) 7:30-8:30pm
Ballet I/II (ages 9-12) 6:15-7:30pm
Pilates Mat & Stretch 8:30-9:15
Ballet Technique II+ (Teen/Adult) 7:30-8:30
Ballet III+ w/ pointe (Teen/Adult) 8:30-9:30
Tuesday
Intro to Piano (ages 5-7) 3:45-4:30pm
Ballet II/III (ages 7-9) 4:45-6:00pm
Pre Teen Ballet II+ (ages 10-13) 6:00-7:15pm
Yoga 6:00-7:00pm
Pre Teen Lyrical I/II (ages 10-13) 7:15-8:00
Modern (Teen/Adult) 7:00-8:00pm
Wednesday
Kindermusik Sign & Sing (6 months-age 3) 9:15-10:00am
Kindermusik Imagine That (ages 3-5) 1:00-1:45pm
Dance Discovery (ages 3-4) 3:45-4:30pm
Pre Teen Jazz/Tap I (ages 10-13) 5:30-6:30
Pre Ballet & Tap I (ages 4-5) 4:30-5:15pm
Jazz I/II (Teen/Adult) 6:30-7:30pm
Kindermusik Family Time (newborn-age 5) 5:30-6:15pm
Contemporary Jazz III/IV (Teen/Adult) 7:30-8:45pm
Tap I/II (Teen/Adult) 7:30-8:30
Thursday
Kindermusik Village (0-18 months) 9:00-9:45am
Kindermusik Our Time (18 months-age 3) 9:45-10:30am
Kindermusik Imagine That (ages 3-5) 10:30-11:15am
Dance Discover (ages 3-4) 4:00-4:45pm
Jazz/Tap II (ages 7-9) 4:00-5:00pm
Pre-Ballet & Tap I (ages 4-5) 4:45-5:30pm
Jazz/Tap III (ages 7-9) 5:00-6:15pm
Pre Teen Jazz/Tap III (ages 10-13) 6:15-7:30
Zumba 5:30-6:15pm (Jan 12 - Mar 1, special pricing $80)
Jazz Technique V (Teen/Adult) 7:30-8:45pm
Ballet I/II (Teen/Adult) 6:15-7:30pm
Friday
Pilates Mat & Stretch 9:00-9:45am
Kindermusik Our Time (18 months-age 3) 9:30-10:15am
Adult Hip Hop 9:45-10:30am
Kindermusik Village (0-18 months) 11:00-11:45am
Pre Ballet & Tap I/II (ages 4-5) 3:30-4:15pm
Ballet I (ages 6-8) 4:15-5:15pm
Jazz/Tap I (ages 6-8) 5:15-6:15
Pre Teen Jazz/Tap II (ages 10-13) 6:15-7:15
Please check here if you are interested in purchasing a uniform or shoes (You will need to come in to open house to be fitted and purchase the uniform at that time)
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By checking this box, I agree to the tuition payment information listed on the schedule of classes, and attest, as a registrant, or as parent or legal guardian, the student named is physically able to participate in the Charlottesville Performing Arts School's (CPAS) dance, fitness, and music instruction and performance activities. While participating in these activities, I hereby waive and release all claims, liabilities, actions, damages, costs or expenses of any nature whatsoever for injuries the registrant might sustain, arising out of the dance instruction and performance activities now or at any time in the future. Further, the registrant, or their parent or guardian agrees to indemnify and hold harmless Charlottesville Performing Arts School, Lea Moore, Melissa DiGrazio, and any instructors associated with CPAS programs, from and against any and all liabilities, claims, actions, damages, costs or expenses of any nature whatsoever. By registering, I agree to the terms of this liability waiver and release. I give permission for photographs to be used for any promotional materials.
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