Register for SSU Performing Arts Academy
Parent/Guardian Information
Parent/Guardian Name*
Relationship to Student
Email*
Primary Phone*
Mobile Phone
Student Information
Student First Name*
Student Last Name*
Date of Birth*
Grade completed prior to June 24, 2019*
School*
Home Street Address*
City*
State*
Zip*
Emergency Contact Information
Emergency Contact Name*
Emergency Contact Relationship to Student*
Emergency Contact Phone*
Class Selection
Select One class/week for $342 or Two classes/week for $608.
Class Options (Pick up to two)
Primary Ballet (Ages 6-10) - Tuesdays 5-6 pm
First Steps Mommy & Me (12 month-3 yrs) - Tuesdays 6-7 pm
Primary Tap (Ages 6-10) - Wednesdays 5-6 pm
Level I/II Ballet (Ages 11-18) - Wednesdays 6-7 pm
Level I Contemporary (Ages 7-14) - Wednesdays 7-8 pm
Pre-Primary Creative Movement (3-5 yrs) - Thusdays 5-6 pm
Pre-Primary Creative Movement (Ages 3-5) - Mondays 5-6 pm
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