Dance Registration Form
January 2025
Student Name
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First Name
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Year
Age as of Jan 1, 2025
*
Address
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Street Address
Street Address Line 2
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Any medical conditions or allergies we need to be aware of
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Parent/guardians name if under 18 years
First Name
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Email
example@example.com
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Emergency contact
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Dance Class Type
Introduction to Dance Age 2-4
All Other Dance Classes
Intro to dance
30 minute class/week $273
Please select all that apply! If wanting to take Acro, please select ballet or jazz!
Ballet Classification
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Hip Hop Classification
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Jazz Classification
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Acro Classification -In order to take acro, students must also take jazz or ballet
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Tap Classification
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Contemporary Classification
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Highland Class Location
Summerside
Charlottetown
Highland Classification
Primary
Beginner
Novice
Intermediate
Premier
Adult
Highland Class Type Charlottetown
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Primary Group Class - New - 30 minute class/week $273
Primary Group Class - Returning - 60 minute class/week $378
Highland Class Type Summerside
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Primary Group Class - New - 30 minute class/week $273
Primary Group Class - Returning - 60 minute class/week $378
Step Classification - Group classes
First Steps 30 minute class/week $273
Beginner 30 minute class/week $273
Novice 1 hour class/week $378
Advanced 1 hour class/week $378
Adult 30 minute class/week $273
Adult 1 hour class/week $378
Step Classification - Private classes
Novice 30 minute class/week $420
Novice 1 hour class/week $630
Advanced 30 minute class/week $420
Advanced 1 hour class/week $630
Adult 30 minute class/week $420
Tuition Calculation
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Award Winner
Yes
No
Which award did you win
Overall Student of the Year
Contemporary Dance Student of the Year
Highland Dance Student of the Year
Step Dance Student of the Year
Marion Riehl Award
I hereby grant permission to The College of Piping and Celtic Performing Arts of Canada and its representatives to photograph and video the student, and otherwise capture images of the student during the regular teaching year, recitals, performances and events. These images and the students name may be used for promoting, publicizing or explaining The College of Piping and Celtic Performing Arts of Canada and its activities for administrative and educational purposes.
*
Yes, I give permission
No, I do not give permission
Class Amount
One Time Convenience Fee
Payment Options: You can choose to pay in 2 payments, 3 payments or 9 payments. The first payment is due with the form completion. A preauthorized debit form is required. Two payments - second payment January 1/25. Three payments - Jan 1/25 and May 1/25. Monthly payments will be at the beginning of every month, starting in February and ending in May. Note: There will be no single payment option, this will allow for any credits to be applied before the final payment.
*
2 payment
3 payments
4 payments
Total 2 payment
Total 3 payment
Total 4 payment
Total
Total due today
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