Conservatory Session Enrollment Form
Runs WEDNESDAYS from January to April. Cherry pick your classes or enroll your student into the Full Program for his/her age group. Tuition is a recurring monthly payment for the 4 month session.
Number of Students Enrolling
Please Select
1
2
3
4
5
Student 1 First & Last Name
First Name
Last Name
Student 1 Age Range
Amethyst (age 4-6)
Emerald (age 7-9)
Sapphire (age 10-12)
Ruby (age 13-15)
Student 2 First & Last Name
First Name
Last Name
Student 2 Age Range
Amethyst (age 4-6)
Emerald (age 7-9)
Sapphire (age 10-12)
Ruby (age 13-15)
Student 3 First & Last Name
First Name
Last Name
Student 3 Age Range
Amethyst (age 4-6)
Emerald (age 7-9)
Sapphire (age 10-12)
Ruby (age 13-15)
Student 4 First & Last Name
First Name
Last Name
Student 4 Age Range
Amethyst (ages 4-6)
Emerald (age 7-9)
Sapphire (age 10-12)
Ruby (age 13-15)
Student 5 First & Last Name
First Name
Last Name
Student 5 Age Range
Amethyst (age 4-6)
Emerald (age 7-9)
Sapphire (age 10-12)
Ruby (age 13-15)
Caregiver First & Last Name
*
First Name
Last Name
Caregiver Email
*
example@example.com
Caregiver Phone Number
*
Please enter a valid phone number.
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Name: A to Z
Name: Z to A
Price: Low to High
Price: High to Low
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Ruby (ages 13-15) FULL PROGRAM
Wed. 11:15 AM - 3:00 PM
$
155.00
# of Students
1
2
3
4
5
Ruby (ages 13-15) VOICE/Act a Song
Wed. 11:15 AM - 12:15 AM
$
55.00
# of Students
1
2
3
4
5
Ruby (ages 13-15) DANCE
Wed. 12:15 PM - 1:45 PM
$
65.00
# of Students
1
2
3
4
5
Ruby (ages 13-15) DRAMA
Wed. 1:45 PM - 3:00 PM
$
60.00
# of Students
1
2
3
4
5
Sapphire (ages 10-12) FULL PROGRAM
Wed. 11:15 AM - 3:00 PM
$
155.00
# of Students
1
2
3
4
5
Sapphire (ages 10-12) VOICE/Act a Song
Wed. 11:15 AM - 12:15 AM
$
55.00
# of Students
1
2
3
4
5
Sapphire (ages 10-12) DANCE
Wed. 12:15 PM - 1:45 PM
$
65.00
# of Students
1
2
3
4
5
Sapphire (ages 10-12) DRAMA
Wed. 1:45 PM - 3:00 PM
$
60.00
# of Students
1
2
3
4
5
Emerald (ages 7-9) FULL PROGRAM
Wed. 10:00 AM - 1:00 PM
$
140.00
# of Students
1
2
3
4
5
Emerald (ages 7-9) DRAMA
Wed. 10:00 AM - 11:00 AM
$
55.00
# of Students
1
2
3
4
5
Emerald (ages 7-9) DANCE
Wed. 11:00 AM - 12:15 PM
$
60.00
# of Students
1
2
3
4
5
Emerald (ages 7-9) VOICE/Act a Song
Wed. 12:15 PM - 1:00 PM
$
50.00
# of Students
1
2
3
4
5
Amethyst (ages 4-6) FULL PROGRAM
Wed. 9:30 AM - 11:00 AM
$
95.00
# of Students
1
2
3
4
5
Amethyst (ages 4-6) VOICE
Wed. 9:30 AM - 10:00 AM
$
40.00
# of Students
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Amethyst (ages 4-6) DRAMA
Wed. 10:00 AM - 10:30 AM
$
40.00
# of Students
1
2
3
4
5
Amethyst (ages 4-6) DANCE
Wed. 10:30 AM - 11:00 AM
$
40.00
# of Students
1
2
3
4
5
Adult Ballet Int./Adv. Monthly Package
Sun. 3:00 PM - 4:30 PM
$
80.00
Quantity
1
2
3
4
5
6
7
8
9
10
Adult Ballet Beginner Monthly Package
Sun. 4:30 PM - 5:30 PM
$
80.00
Quantity
1
2
3
4
5
6
7
8
9
10
Adult Ballet Int./Adv. Drop In
Sun. 3:00 PM - 4:30 PM
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Adult Ballet Beginner Drop In
Sun. 4:30 PM - 5:30 PM
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Audition Prep. Monthly Package
Sun. 3:00 PM - 4:00 PM
$
80.00
Quantity
1
2
3
4
5
6
7
8
9
10
Audition Prep. Drop In
Sun. 3:00 PM - 4:00 PM
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Will you allow photo/video/audio of your student(s) to be used for promotional marketing for Gemstones Performing Art Conservatory?
Yes
No
Cash/Check/Venmo accepted each month. How should we anticipate your payment?
*
Welcome to the Gemstones Family. See you soon!
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