Summer 2021 Registration
Register for summer in-person classes, in-person lessons, or virtual private lessons using this online registration by completing the fields below.
Questions: email the SCAA office at firstname.lastname@example.org
Important! For private lessons: If you have already made contact with the lesson instructor, and have coordinated a lesson start date, continue to complete the registration below and submit. If you do not have a current private lesson instructor, and would like information regarding private instruction, complete the Interest Inquiry or email the SCAA office at email@example.com to receive information and rates for instrumental or vocal instruction.Student Name*
Student Birth Date*Student Grade Level as of Fall 2021*Pre-KindergartenKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12 GradeCollege and aboveSexMaleFemaleParent/Guardian Name*
Home PhoneBusiness PhoneCell PhoneAddress (*New students only OR a change of address for current students)
Address Line 2
State / Province / Region
ZIP / Postal Code
Eligible for SU Staff/Faculty Discount?YesNo
INSTRUMENTAL & VOCAL LESSONS
Private Instrumental/Vocal Lessons Instructor Name (First and/or last name of instructor)List instrument or write vocal lessonsIn-person or virtual lessonsPrivate Instruction Start DateHow many summer lessons are you registering for?Length of Private Instruction Lesson (30-min, 45-min, or 60-min)
Art Start: Seasons!, age 3.5-6 yrs, July 26-30($120) AACW 300 01
Junior Ballet Technique, age 10-12 yrs, Mondays: June 14-August 2 ($126) AACW 800 01
Advanced Ballet Technique, age 13+ yrs, Mondays: June 14-August 2 ($126) AACW 900 01
Intro to Pre-Ballet, age 3.5-5 yrs, June 22-24 ($36) AACW 100 01
Intro to Ballet, age 6-9 yrs, June 22-24 ($42) AACW 200 01
Storybook Ballet, age 9-12 yrs, July 27-29 ($72) AACW 500 01
Intro to Dance Styles, age 7-9 yrs, July 26-30 ($135) AACW 400 01
Choreography!, age 9-12 yrs, July 27-29 ($72) AACW 600 01
Choreography!, age 13+ yrs, July 27-29 ($96) AACW 601 01
Intermediate Contemporary, age 9-12 yrs, June 21-25 ($70) AACW 700 01
Intermediate Contemporary, age 9-12 yrs, July 12-23 ($135) AACW 700 02
Advanced Contemporary, age 13+ yrs, June 21-25 ($70) AACW 701 01
Advanced Contemporary, age 13+ yrs, July 12-23 ($135) AACW 701 02
VIRTUAL SING, EXPLORE, PERFORM!
Sun, Sand, & Surf for Little Ones (one child attending) age 9 months-4 yrs, 6/2, 6/4, 6/9, 6/11 ($36) AACW 101-01
Sun, Sand, & Surf for Little Ones (two or more children attending) age 9 months-4 yrs, 6/2, 6/4, 6/9, 6/11 ($45) AACW 101-02
Elementary Performs “GO FISH!", age 5-8 yrs, 6/1, 6/3, 6/5, 6/8, 6/10, 6/12 ($115) AACW 400 01
Let’s Make a Musical, age 8-11 yrs, July 6-10 ($45) AACW 600 01
Songwriting, age 11-17 yrs, July 13-17 ($45) AACW 601 01
Raise the Baton, age 11-17 yrs, Wednesdays July 1-29 ($30) AACW 602 01
Group Piano 2, Tuesdays/Thursdays, 6/16-7/16 ($90) AACW 503 01
Inquiry: Instrumental or Vocal Lessons
Private Instrumental and Vocal Lessons
Private Instrumental Lessons (New Students): Rates vary by instructor and are given upon request by emailing firstname.lastname@example.org, or by calling 540-665-4602.Shenandoah Conservatory Academy may use student images for promotional purposes. To OPT OUT, please note below.*I AgreePlease Opt Me OutEmergency Contact*
Additional Emergency Contact if different from parent/guardian.Emergency Contact Relation to Student*Emergency Contact Phone Number*Alergies/Health Problems
Severe Respiratory condition
Check all that apply.Please list all Environmental Allergies.Please list all Food Allergies.Please list any health issues.Is this your first time registering for the Summer '21 session?*
How did you hear about us?OnlineWord of MouthSocial MediaPayment*Credit Card* by phoneDebit Card** by phoneCheck by mailWalk-in to officePayment options:
1. Call the SCAA office (540.665.4602) and leave your payment information on our secure voicemail:
Student name, Card number, Name on the card, Expiration date, and is the card a debit or credit transaction.
2. Leave a message for the SCAA office (540.665.4602) and our office will return your call to take your payment.
Important: Payment in full is due within seven days of registration and be can be taken by phone, mail, or walk-in.
*Credit card payments: A nonrefundable surcharge of 1.5% is imposed on the amount of a credit transaction.
**Debit card payments: A surcharge is NOT imposed on the on the amount of a debit transaction.
Shenandoah Conservatory Arts Academy may use student images for promotional purposes.
Optional Field (any additional information)NumberCommentsThis field is for validation purposes and should be left unchanged.