Student First Name
Student Last Name
Student Birth Date
Student Grade Level (as of Fall 2024)
Pre-kindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
College and Above
Student Email (optional)
Address
Address Line 2
City
State
AL : Alabama
AK : Alaska
AZ : Arizona
AR : Arkansas
CA : California
CO : Colorado
CT : Connecticut
DE : Delaware
FL : Florida
GA : Georgia
HI : Hawaii
ID : Idaho
IL : Illinois
IN : Indiana
IA : Iowa
KS : Kansas
KY : Kentucky
LA : Louisiana
ME : Maine
MD : Maryland
MA : Massachusetts
MI : Michigan
MN : Minnesota
MS : Mississippi
MO : Missouri
MT : Montana
NE : Nebraska
NV : Nevada
NH : New Hampshire
NJ : New Jersey
NM : New Mexico
NY : New York
NC : North Carolina
ND : North Dakota
OH : Ohio
OK : Oklahoma
OR : Oregon
PA : Pennsylvania
RI : Rhode Island
SC : South Carolina
SD : South Dakota
TN : Tennessee
TX : Texas
UT : Utah
VT : Vermont
VA : Virginia
WA : Washington
WV : West Virginia
WI : Wisconsin
WY : Wyoming
ZIP / Postal Code
Parent/Legal Guardian First Name
Parent/Legal Guardian Last Name
Parent/Legal Guardian Email
Parent/Legal Guardian Phone Number
Address
Address Line 2
City
State
AL : Alabama
AK : Alaska
AZ : Arizona
AR : Arkansas
CA : California
CO : Colorado
CT : Connecticut
DE : Delaware
FL : Florida
GA : Georgia
HI : Hawaii
ID : Idaho
IL : Illinois
IN : Indiana
IA : Iowa
KS : Kansas
KY : Kentucky
LA : Louisiana
ME : Maine
MD : Maryland
MA : Massachusetts
MI : Michigan
MN : Minnesota
MS : Mississippi
MO : Missouri
MT : Montana
NE : Nebraska
NV : Nevada
NH : New Hampshire
NJ : New Jersey
NM : New Mexico
NY : New York
NC : North Carolina
ND : North Dakota
OH : Ohio
OK : Oklahoma
OR : Oregon
PA : Pennsylvania
RI : Rhode Island
SC : South Carolina
SD : South Dakota
TN : Tennessee
TX : Texas
UT : Utah
VT : Vermont
VA : Virginia
WA : Washington
WV : West Virginia
WI : Wisconsin
WY : Wyoming
ZIP / Postal Code
Dance
Intro to Dance Styles (Ages 6–9) / July 8-12 / 90 min / Johnson / 1-2:30 pm / $120 Intro to Dance Styles (Ages 9–13) / June 24-28 / 90 min / Crump / 4:30-6 pm/ $120 Intro to Pre-ballet (Ages 3–5) / June 25–27 / 45 min / Johnson /11-11:45 am / $36 Intro to Pre-ballet (Ages 3–5) / July 9–11 / 45 min / Johnson / 3-3:45 pm / $36 Intro to Ballet (Ages 6–8) / June 25–27 / 60 min / Johnson / 12-1:00 pm / $48 Ballet/Variations (Ages 8-12) / June 10-14 / 90 min / Robare / 4-5:30 pm / $120 Ballet/Variations (Ages 12+) / June 10-14 / 90 min / Robare / 5:30-7:00 pm / $120 Musical Theatre Dance (Ages 8-12) / June 10-14 / 60 min / Crump / 3:00-4:00 pm /$80 Musical Theatre Dance (Ages 12+) / June 10–14 / 60 min / Robare / 7-8:00 pm / $80 Commercial Dance (Ages 9–12) / July 15–19 / 180 min / Nolan / 9 am -12 pm / $225 Commercial Dance (Ages 13+) / July 15–19 / 180 min / Nolan / 1-4 pm / $225 Modern/Contemporary (Ages 10–14) / July 10, 17, 24, 31 / 90 min / Keller / 5:30-7:00 pm / $96 Modern/Contemporary (Ages 14–18) / July 11, 18, 25, August 1 / 90 min / Keller / 5:30-7:00 pm / $96 Poetry in Motion (Ages 9–13) / July 9–11 / 90 min / Crump / 4-5:30 pm / $72 Beginning Adult Ballet & Stretch (Ages 16+) / June 18, 25 ; July 2, 9, 16, 23, 30; August 6 / 90 min / Crump /6-7:30 pm / $24 per class or $160 for series
Theatre
If You Give a Mouse a Cookie (Ages 6-10) / June 24-28 / 180 min / Balcom, Barkus, Neufer / 9 am-12 pm / $240 Dr. Seuss (Ages 6-10) / July 8-12 / 180 min / Balcom, Barkus, Neufer / 9 am-12pm / $240 Annie (Ages 6-10) / August 5-9 / 180 min / Balcom, Barkus, Neufer / 9 am-12 pm/ $240 Olympians (Ages 9-13) / June 10-14 / 180 min / Balcom, Barkus, Neufer / 9 am-12 pm / $240 Little Mermaid (Ages 9-13) / July 22-26 / 180 min / Balcom, Barkus, Neufer / 9 am-12 pm / $240
Fencing
Beginner-Cadet I (Ages 9+) / June 7, 14, 21, 28; July 12, 26 / 120 min / De Azagra / 1-3 pm / $192 Cadet-Squire (Inter-Advanced) / June 7, 14, 21, 28; July 12, 26 / 120 min / De Azagra / 3-5 pm / $192 Adult & Senior Fencing / June 7, 14, 21, 28 / 120 min / De Azagra / 10-11:30 am / $96
Take Note
By completing this registration form, you confirm that you spoken with a SCAA teacher and/or the SCAA Office in advance. If you have not yet completed this step, please submit a Private Lessons Inquiry .
Private Instrumental/Voice Lessons Instructor Name
Instrument/Voice
Suzuki: Piano
Suzuki: Violin
Voice
Flute
Oboe
Clarinet
Saxophone
Horn
Trumpet
Trombone
Euphonium
Tuba
Violin
Viola
Cello
Percussion
Guitar
Piano
Private Lesson State Date
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Relation to Student
Emergency Contact Phone
IMPORTANT NOTES
The 2023-24 Registration Fee ($35) and class/lesson tuition payment are due within ten days of registration and can be taken by phone, mail or walk-in.
Payment Plans are available for class/lesson tuition offered by Shenandoah Conservatory Arts Academy. A signed Deferred Payment Plan Promissory Note is due within ten days of registration.
*Credit/debit card payments: A nonrefundable service fee of 1.5% (per university) is imposed on the amount of a credit/debit transactions.
Shenandoah Conservatory Arts Academy may use student images for promotional purposes.
Additional Info
Submit Registration