CEFAA Enrollment Form 2026-2027

Student Name

First NameMiddle NameLast Name

Birth Date

MonthDayYear

Gender

Guardian Name (Only Answer if it applies)

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student or Guardian E-mail

example@example.com

Student or Guardian Mobile Number

Student or Guardian Phone Number

Emergency Contact

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.

Courses

Any Food Allergies?

YesNo

VoiceInstrumentBothNone

If you chose Instrument Lessons. What Instrument would you like to play?

What are your Suggested Times?

YesNo

If yes, please give the epic id

Additional Comments

For credit card payment only

1-Day Mini Art Class

This is a 1-Day Mini Art Class to help cultivate and develop a discipline in the craft of Art from the ages of 10 and up they will get to explore a subject to create a great masterpiece.

$25.00

1-day Mini Dance Class

From 20:00am to 1:00pm students will be able to learn the fundamentals of dance. They will be able to grow and develop skills and discipline to be able to start a long-lasting love for dance

$25.00

2- Day CO-OP

Each week we will give 2 Day CO-OP class where we will be able to help families educate or support there children Monday and Wednesday 10:00-3:00pm as well as receiving a music lesson and art class within that CO-OP Day. These classes are held in small class sizes with all COVID procedures. This will give every student enrolled the ability to have extra help from a qualified staff member, as well as giving parents the support desired as they choose a different environment of education for their children. Class is 300.00 a month

$300.00 Quantity

3- Day CO-OP

Each week we will give 3-Day CO-OP classes Monday, Tuesday, Wednesday 10:00am-2:00pm where we will be able to help families educate or support there children as well as receiving a music lesson and art class within that CO-OP Day. These classes are held in small class sizes with all COVID procedures. This will give every student enrolled the ability to have extra help from a qualified staff member, as well as giving parents the support desired as they choose a different environment of education for their children. Class is 400.00 a month.

$400.00 Quantity

Children's Band

Ages 4-6 Each week we drum, sing, dance, play rhythm instruments and begin to play music-based games. The Children’s Band 4-5yrs guides children toward developmentally appropriate music and movement activities, where they can begin to take charge, lead others and be musically creative, as they: Make up their own drumming patterns Invent new ways to play rhythm instruments (shakers, sticks, etc.) Create movement ideas for songs And even make a drum solo! Class are 100.00 a month

$100.00 Quantity

30 min Private Lesson

All Private lessons each week will enhance the learning capacity of the students ability to learn the instrument that they have chosen to play or enhance. They will have a tutor of music come in and properly teach them how to play the instrument correctly and advance their skill. 30 min weekly

$30.00 Quantity

30 Private Lessons

All Private lessons each week will enhance the learning capacity of the students ability to learn the instrument that they have chosen to play or enhance. They will have a tutor of music come in and properly teach them how to play the instrument correctly and advance their skill. 30 min Private Lesson 100.00 a month

$100.00 Quantity

45 min Private Lesson

All Private lessons each week will enhance the learning capacity of the students ability to learn the instrument that they have chosen to play or enhance. They will have a tutor of music come in and properly teach them how to play the instrument correctly and advance their skill. 45 min weekly payment

$40.00 Quantity

45 min Private Lesson

All Private lessons each week will enhance the learning capacity of the students ability to learn the instrument that they have chosen to play or enhance. They will have a tutor of music come in and properly teach them how to play the instrument correctly and advance their skill. 45 min Private Lesson 120.00 a month

$120.00 Quantity

60 min Private Lesson

All Private lessons each week will enhance the learning capacity of the students ability to learn the instrument that they have chosen to play or enhance. They will have a tutor of music come in and properly teach them how to play the instrument correctly and advance their skill. 60 min Private Lessons are 50.00 a week

$50.00 Quantity

60 min Private Lesson

All Private lessons each week will enhance the learning capacity of the students ability to learn the instrument that they have chosen to play or enhance. They will have a tutor of music come in and properly teach them how to play the instrument correctly and advance their skill. 60 min Private Lesson 140.00 a month

$140.00 Quantity

CMA Art Class

CMA Youth Classes are created for youth artist that want to learn different genres of art. They not only learn how to create the art but they also learn how to present market and sale there art as well.

$100.00

CMA IT/ Coding Class

CMA IT/Coding Class is a 45 min class geared towards Students ages10-18 year of age who want to understand how to get the knowledge and skills to setup and use a computer at home securely and keep it in good working order as well as provide informal support to PC. They also will learn how to code as well as programming different systems and programs. It/Coding Class will be 100.00 a month

$100.00 Quantity

CMA Youth Photography Class

Youth Photography Class it is a hour class for youth not only teach students how to take photos professionally, but also teaching editing, marketing, and present and gain clients. Youth photography class is 105.00

$105.00 Quantity

Music + Tutoring

We will provide 45 min tutoring session with a 45 min Music Lesson one time a week for 300.00 a month.

$300.00 Quantity

Tutoring

We will provide 40 min tutoring session Monday, Tuesday, Wednesday. Monday's are virtual, Tuesday & Wednesdays are in person.

$275.00 Quantity

Jazz Dance Class

Jazz Dance Class will be on Friday from 4:30-5:30. This class will teach our scholars how to proficiently dance in jazz. There will be recitals and performance that they will be able to participate in throughout the year.

$100.00 Quantity

Tutoring + IT/Coding

We will provide 40 min tutoring session + 1 hour IT/Coding Class

$300.00 Quantity

Tutoring + Dance

We will provide 40 min Tutoring sessions + 1 hour Dance Class on Friday from 4:30pm-5:30pm

$375.00 Quantity

Tutoring + Photography

We will provide a 40 min tutoring session+ 1 hour photograpy class.

$350.00 Quantity

Student Tutor

Student teacher 15.00 an hour

$15.00

Product Name

$ Free Quantity

Total

$0.00

Credit Card Details
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Credit Card Number	Security Code
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C.E.F.A.A Enrollment Form