Registration Form

Please Fill out this form in it's entirety! You/your child are not registered until Liability Waiver and Code Of Conduct Forms are signed - if you are registering more than one child, please fill out separate forms for each.

Student First name

Student Last Name

Student Date of birth

Month

Day

Year

Parent/Guardian First and Last Name (if adult just put N/A)

Parent/Guardian/Adult Student Email

Parent/Guardian/Adult Student Preferred Phone #

Does your child have any special needs, diagnoses, or support needs we should know about to best support them in class? Please be as detailed as you’d like — if none, just write N/A.

Are you a returning family?

Yes

No

Emergency Contact Name

Emergency Contact Phone

PLEASE CHOOSE EVERY CLASS YOU'D LIKE TO REGISTER FOR:

Children's Theater Classes

Monday 6-7:30pm: Theater III (9th-12th) (Hannah)

Tuesday 5-6pm: Theater II (6th-8th) (Emerson)

Wednesday 4-5pm: Storybook Theater (Kindergarten-2nd) (Emerson)

Wednesday 5-6pm: Theater I (3rd-5th) (Emerson)

Wednesday 6-7pm: Teen Improv (Angi)

Specialty Theater Classes - Various Levels

Saturday 12-4pm: Tech Academy (Emerson)

Littles Dance Classes (Ages 3-7)

Monday 10-10:45am: Creative Movement (3-5years) (Grace)

Monday 4-5pm: Ballet/Tap (5-7 years) (Bella)

Monday 4-4:45pm: Creative Movement (3-5years) (Rylee)

Tuesday 12-12:45pm: Creative Movement (3-5 years) (Grace)

Tuesday 5-6pm: Creative Movement (3-5 years) (Kylee)

Thursday 4-4:45pm: Creative Movement (3-5 years) (Sarah B)

Thursday 5-6pm: Ballet/Jazz (5-7 years) (Kylee)

Saturday 10-10:45pm: Creative Mov. (3-5 years) (Grace)

Intermediate Dance Classes (Ages 8+)

Monday 5-6pm: Intermediate Tap (Steven)

Monday 6-7pm: Intermediate Jazz (Steven)

Monday 6-7pm: Beginner/Intermediate Hip Hop (Abby)

Tuesday 6-7pm Intermediate Lyrical - (Jenni)

Wednesday 4-5pm: Beginner/Intermediate Ballet (8+) (Sarah F)

Wednesday 6-7pm Intermediate Ballet (Sarah F)

Advanced Dance Classes

Monday 4-5pm: Advanced Tap (Steven)

Monday 7-8pm: Adv/Hip Hop Miss (Abby)

Tuesday 4-5pm Advanced Ballet/Pointe (Sarah F)

Tuesday 7-830pm: Advanced Lyrical (Darci)

Wednesday 7-830pm Advanced Ballet/Pointe (Sarah F)

Thursday 7-8pm: Advanced Jazz (Gabriel)

Homeschool Offerings

Tuesday 12-3pm: Homeschool Junior Thespians (Emerson)

Wednesday 12-3pm: Homeschool Theater (Emerson)

Thursday 12-1pm Homeschool Intermediate Ballet (Grace)

Thursday 12-3pm: Homeschool Dance (Chelsea)

Thursday 12-3pm: Homeschool High School Thespians (Emerson)

Dance Performance Companies

Tuesday 5-6pm: Ballet Company (all levels) (Sarah F)

Friday 5-7pm True Colors Dance Company (all ages) (Steven)

Adult Classes

Wednesday 7-8pm: Adult Improv (Sam)

Thursday 7-8pm: Teen/Adult Ballet (16+) (Sarah F)

Thursday 8-9pm: Teen/Adult Jazz (Gabriel)

Sunday 10am-11am: Adult Acting (Hannah)

Sunday 11am-12pm: Adult Tap (Steven)

Sunday 12-1pm: Adult Jazz (Steven)

Unique Abilities and Adaptive Dance Classes

Wednesday 5-6pm: Unique Abilities Dance Class (Nora/Crystal)

Thursday 4-5pm: Unique Abilities Dance Class (Sarah F)

Thursday 4-5pm: Adaptive Dance - Choreography (Jules)

Thursday 5-6pm: Adaptive Dance - Ballet/Lyrical/Modern (Jules)

Thursday 6-7pm: Adaptive Dance - Tap/Jazz/Hip Hop (Jules)

Specialty Dance Classes - Various Levels

Monday 5-6pm: Broadway Dance (12+) (Chelsea)

Thursday 6-7pm: Dance Team Skills (Kylee)

I declare that I have read and acknowledge the IMAGINE PERFORMING ARTS CENTER STUDENT CODE OF CONDUCT

https://www.imagineperformingartscenter.org/codeofconduct

By signing, I confirm that I have read, understood, and agree to the student code of conduct, and I am aware of the consequences of not adhering to it.

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I declare that I have read and acknowledge the IMAGINE PERFORMING ARTS CENTER PARTICIPATION, AGREEMENT, LIABILITY WAIVER, AND POLICY ACKNOWLEDGEMENT,

https://www.imagineperformingartscenter.org/liabilitywaiver

By signing, I acknowledge that I have read, understood, and agree to all the terms and conditions stated in this agreement.

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The registration fee is $25. If you pay here, you will be charged a 3% credit card fee. If you don't want to pay the fee, we do take zelle at Info@imagineperformingartscenter.org, cash or check.

Once you hit submit, your registration form will be submitted. The next screen will ask for credit card information. If you choose to pay another way, you can close the window - your registration will still be submitted.

Registration Fee

Registration Fee for One Student - $26.50