Please note: You must complete the form below. We require online registration, so we can ensure we have quick access to your child's emergency information. Please only register for classes you fully intend on taking. We have limited spots in many of our programs. This form will automatically enroll you into your chosen program. 

***NEW CLIENTS WELCOME PLEASE SCROLL DOWN- You will need to fill out the extended registration form to reserve your child's spot! Thank you!

2017 SUMMER CLASSES

Starting July 4th to ­ August 24th

Name *
Name
Class

Summer Camp Registration FOR EXISTING STUDIO A CLIENTS

Name *
Name
Summer Camp

NEW MEMBER REGISTRATION 

Child's Name
Child's Name
Birthday
Birthday
Parent's Name *
Parent's Name
Phone
Phone
Address
Address
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
Please list: Physician information & Allergies (food, medicine, etc)
MEDICAL RELEASE *
I further certify that the aforementioned student is in proper physical condition to participate in the exercise/dance program and that he/she has been examined by a licensed physician and found to be in proper physical condition to participate in said program. In the event you are unable to reach me, in the case of accident or injury, I give my permission for treatment as deemed necessary by staff or emergency personnel. I also release Studio A Academy of Performing Arts and its staff of liability in case of injury or accident incurred to my child
Please type your name below to show you have read & agree with medical release.
If you would like to join the wait list for a FULL class please tell us which class you are interested in.
Summer Camp
SUMMER 2017