Student First Name
Student Last Name
Student Birth Date
Student Grade Level (as of Fall 2026)
Adult
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)
Student Phone (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/Guardian/ Emergency Contact 1
Relation to Student
Email
Phone Number
Parent/Guardian/ Emergency Contact 2
Relation to Student
Email
Phone Number
Adult Classes
Beginning Adult Ballet & Stretch (Ages 16+) / June 16, June 23, July 7, July 14, July 21, July 28, August 4, August 11 *No Class June 30* / Crump / 6:00-7:30 pm / $216 Adult Contemporary (Ages 18+) / July 9, 16, 23, 30 / Bergmann / 6:30-7:30 pm / $72 Adult Gentle Yoga (Ages 18+) / June 4-July 30 (no class July 2) / Thrane / 6:30-7:30 pm / $144
Class is Full -Art Start: 2026-2027
Two Day Option ($3,600 / M, W) Two Day Option ($3,600 / TU, TH) Three Day Option ( $5,400 / MO, TU, W) Four Day Option ( $7050 / M, TU, W, TH)
Take Note
By completing this registration form, you confirm that you have spoken with a SCAA teacher and/or the SCAA Office in advance to coordinate lessons. If you have not yet completed this step, please submit a Private Lessons Inquiry .
Instructor Name
Instrument/Voice
Cello
Clarinet
Euphonium
Flute
Guitar
Horn
Music Theory & Composition
Oboe
Percussion
Piano
Suzuki: Piano
Saxophone
Trombone
Trumpet
Tuba
Ukulele
Viola
Violin
Suzuki: Violin
Voice
Private Lesson State Date
Number of Private Lessons
Does the student have any allergies?
Does the student have any medical needs?
Does the student have any additional learning needs?
Any additional information?
IMPORTANT NOTES
Tuition is taken by:
Phone at 540-665-4602;
Mail to 203 S. Cameron St, Winchester, VA 22601;
In-person at SCAA Office at 203 S. Cameron Street, Winchester, VA 22601.
We accept cash, check, and credit cards. Please make sure payments include the student's full name and class. Checks can be made out to "SCAA." All credit/debit payments will be subject to a 1.5% service charge for each purchase made. If paying in cash, exact amount is required, SCAA does not have change.
Summer 2026 Tuition is due in full within two weeks (14 days) of registration or the first day of class, whichever comes first.
Fall 2025-26 Registration Fee ($35) is due within ten business days of registration.
Fall Tuition can be paid in several different ways: Pay in full prior to the start of classes OR Deferred Payment Plans.
Deferred Payment Plans require a Deferred Payment Plan Form , which can be completed and returned to the office via email, mail, or in-person.
Payment (SCAA does not take online payments at this time)
Submit Registration