QCPA Spring 2025 Registration Form
The Quinn Center for Performing Arts
Student Information
Full Name
*
First Name
Last Name
E-mail
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
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Area Code
Phone Number
Birthdate
*
-
Month
-
Day
Year
Date
T-shirt Size
*
Parent/Guardian
Emergency Contact
*
Please list any medical, mental health, or behavioral diagnoses we should be aware of to support your needs.
*
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Please select which classes you desire to take for the Spring 2025 semester.
*
Pre-Ballet/Jazz/Tap
Ballet 1
Ballet 2
Ballet 2B
Ballet 3
Jazz 1
Jazz 2/2B
Jazz 3
Lyrical
Acro 1/2
Acro 2B/3
Tap
Hip Hop
My Products
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( X )
1 Class
$
70.00
2 Class Package
$
120.00
3 Class Package
$
180.00
4 Class Package
$
240.00
5 Class Package
$
270.00
Unlimited Class Package
$
300.00
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Total
$
0.00
Credit Card Details
First Name
Last Name
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