SCAA Registration

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Student First Name

Student Last Name

Student Birth Date

Gender

Male Female Non-binary

Student Grade Level (as of Fall 2023)

Student Email (optional)

Address

Address Line 2

City

State

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

ZIP / Postal Code

Program

Art Start Adult Programs Dance Classes & Performing Ensembles Fencing Music Ensembles Private Lessons

Art Start

Fall 2023 – Spring 2024 Summer 2023

Fall 2023 – Spring 2024

Two Day Option ($3,300) Three Day Option ( $4,950

Two Day Option ($3,300)

Tuesday/Wednesday Wednesday/Thursday Tuesday/Thursday

Adult Programs

Adult/Teen Stretch & Strengthen: Session II (November 2 – January 11) Adult/Teen Stretch & Strengthen: Session III (January 18 – March 8) Adult/Teen Stretch & Strengthen: Session IV (March 15 – May 10) Adult Ballet Sessions: Session I (September 12 – November 7) Adult Ballet Sessions: Session II (November 2 – January 11) Adult Ballet Sessions: Session III (January 18 – March 8) Adult Ballet Sessions: Session IV (March 15 – May 10) Adult Beginner Tap: Session II (February 23 – April 20) Adult Intermediate Tap – Level I: Session I (September 27 – November 15) Adult Intermediate Tap – Level I: Session II (February 21 – April 18) Adult Intermediate Tap – Level II: Session I (September 29 – November 17) Adult Intermediate Tap – Level II: Session II (February 21 – April 18)

Dance Classes & Performing Ensembles

Fall 2022 – Spring 2023 Summer 2023 (Dance offerings announced March 2023)

Dance Style / Performing Dance Ensemble

Ballet Contemporary Hip-hop / Jazz Jazz Lyrical Musical Theatre Dance Tap Performing Dance Ensemble

Ballet

Pre-ballet / TU 4:15 p.m. / 45 min / Johnson / ADAN 300-01 / $448 Pre-ballet / WE 2 p.m. / 45 min / Johnson / ADAN 300-03 / $448 Pre-ballet / TH 5:15 p.m. / 45 min / Johnson / ADAN 300-02 / $448 A / MO 5:30 p.m. / 60 min / Crump / ADAN 400-01 / $480 A / TU 5 p.m. / 60 min / Johnson / ADAN 400-02 / $480 B / TH 4:15 p.m. / 60 min / Johnson / ADAN 401-01 / $80 C / TU 6 p.m. / 60 min / Johnson / ADAN 402-01 / $480 D / TH 6 p.m. / 60 min / Johnson / ADAN 403-01 / $480 1 / Not offered during the 2022/23 academic year 2 / TU 7 p.m. / 90 min / Johnson / ADAN 405-01 $720 3 / TU 4:15 p.m. / 90 min / Robare / ADAN 406-01 / $720 4 / TH 4 p.m. / 90 min / Robare / ADAN 407-01 / $720 5 / MO 5 p.m. / 90 min / Schroth / ADAN 408-01 / $720 Advanced / TU 5:45 p.m. / 90 min / Robare / ADAN 409-01 / $720 Ballet Technique (Non-recital) / TH 7 p.m. / 90 min / Johnson / ADAN 417-01 / $472

Contemporary

Beginner Contemporary / WE 5:30 p.m. / 60 min / Crump / ADAN 705-01 / $480 Advanced Contemporary / TU 7:30 p.m. / 75 min / Watkins / ADAN 706-01 / $584

Hip-hop / Jazz

Hip-hop / Jazz 1 / MO 6:30 p.m. / 60 min / Crump / ADAN 600-01 / $480 Hip-hop / Jazz 2 / MO 7:30 p.m. / 60 min / Crump / ADAN 601-01 /$480

Jazz

1 / WE 4:30 p.m. / 60 min / Watkins / ADAN 500-01 / $480 2 / WE 5:30 p.m. / 60 min / Watkins / ADAN 501-01 / $480 3 / WE 6:30 p.m. / 60 min / Watkins / ADAN 502-01 /$480

Lyrical

1 / WE 6:30 p.m. / 60 min / Crump / ADAN 901-01 / $480 2 / TU 6:30 p.m. / 60 min / Watkins / ADAN 902-01 / $480 3 / TH 5:30 p.m. / 60 min / Robare / ADAN 903-01 /$480

Musical Theatre Dance

1 / WE 4:30 p.m. / 60 min / Robare / ADAN 904-01 / $480 2 / WE 5:30 p.m. / 60 min / Robare / ADAN 905-01 / $480

Tap

1, 2 / TH 5:15 p.m. / 45 min / McNamara / ADAN 800-01 / $448 Intermediate/Advanced / TU 6 p.m. / 60 min / McNamara / ADAN 801-01 / $480

Performing Dance Ensemble

Ensemble I / WE 6:30 p.m. / 75 min / Robare / ADAN 906-01 /$481 Ensemble II / WE 7:45 p.m. / 90 min / Robare / ADAN907-01 / $585

Fencing

Beginner / FR 4 p.m. / 60 min / Azagra / AFEN 100-01 / $480 Cadet Trainee / FR 4 p.m. / 60 min / Azagra / AFEN 101-01 / $480 Cadet 1 Trainee, Cadet 1 / FR 5 p.m. / 60 min / AFEN 102-01 / $480

Music Ensembles (Fall 2022 – Spring 2023)

Youth Orchestra / Shenandoah Valley Chamber Orchestra Crescendo Chorus Blue Ridge Choristers (BRC) Top of Virginia Youth Chorale (TOPS/TOVYC) Group Piano I Group Piano II

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

Private Lesson State Date

Length of Private Lesson

30 minutes 45 minutes 60 minutes

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Relation to Student

Emergency Contact Phone

Payment

Credit/Debit Card* by Phone Check by Mail Cash (exact amount required; we do not have change) Walk-in to Office Payment Plan (Deferred Payment Plan Form)

Eligible for Shenandoah University Staff/Faculty 10% Tuition Discount?

Yes No

How did you hear about us?

Website Social Media Word of Mouth Other

IMPORTANT NOTES

Full payment is due within ten days of registration and can be taken by phone, mail or walk-in.
Payment Plans are available for class and 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