Youth Registration Form

Student Name *

First Name

Last Name

Student Birthdate *

MM

DD

YYYY

New or returning student *

Returning Fall Student (Enrolled Fall 2024)

Returning Student (Enrolled previously- not current)

New Student

If you are returning from Fall 2024, are you enrolling in the same classes on the same days? *

Returning Fall 2024 students have preference and are encouraged to continue in the same classes for the entire school year (Fall-Spring) unless directed by a teacher that a class switch is appropriate. Changing a class day (Pre-Ballet Monday to Pre-Ballet Tuesday for example) is no problem, but subject to full classes and waitlists like new students.

Same Classes as Fall

Different Classes as Fall

Not Enrolled in Fall

Recital *

Do you anticipate your child will participate in the Spring Recital (May 16th, 2025)? Commitment and recital fees will be due January 20th, 2025.

Yes

No

Unsure

Student Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Contact Name *

Primary Parent or Guardian for students under 18 years

First Name

Last Name

Primary Contact Phone *

(###)

###

####

Secondary Contact Name

Secondary Parent or Guardian for students under 18. In an emergency, the secondary contact will be called if we cannot reach the primary contact.

First Name

Last Name

Secondary Contact Phone

(###)

###

####

Name

First Name

Last Name

Phone

(###)

###

####

Classes

Please check the class or classes you intend to register for for the spring semester. SCOD will reach out to you if the class you selected is full or if there is a question whether the class selected is appropriate. NEW AND RETURNING STUDENTS: If you need help with placement, please email schramelconservatory@gmail.com for guidance. Students typically spend several years at the same level and continue in the same level from the fall semester into the spring semester.

Pre-Ballet Monday 4:15pm (3-4)

Pre-Ballet Tuesday 4:15pm (3-4)

Pre-Ballet Saturday 10:00am (3-5)

Ballet/Tap/Jazz Tuesday 4:15-5:15 (4-6) Waitlist (See Above)

Primary Ballet Monday 4:15pm (5-7)

Primary Ballet Tuesday 4:00pm (6.5-8)

Primary Ballet Wednesday 4:15pm (5-7)

Primary Ballet Saturday 11:15am (5-7)

Ballet 1 Wednesday 4:15pm (7 +)

Ballet 1 Thursday 4:15pm (7 +)

Ballet 2 Wednesday 5:15pm (8 +) Waitlist (See above)

Ballet 2 Thursday 4:15pm (8 +)

Ballet 2-3 Monday 5:15pm (9 +) Waitlist (See above)

Ballet 2-3 Tuesday 5:15pm (9 +)

Ballet 3 Tuesday 5:00pm (10+)

Ballet 3-4 Monday 5:00pm

Ballet 3-4 Thursday 5:15pm

Pre & Beginning Pointe Thursday 6:45pm (Arrival by 6:30pm)

Ballet 4 Pointe Wednesday 5:15pm

Ballet 4 Thursday 5:15pm

Ballet 4 Friday 4:15pm

Int/Adv (5/6) Monday 6:30pm

Int/Adv (5/6) Pointe Wednesday 6:30pm

Int/Adv (5/6) Thursday 6:30pm

Int/Adv (5/6) Saturday 10:00am

Tap 1 Wednesday 5:15pm

Tap 2 Wednesday 4:30pm

Teen/Adult Contemporary Tuesday 6:30pm

Youth Jazz Wednesday 6:30-7:30pm (10-14)

1. *

I understand that dance is a physical art form and injury is inherent. Every effort has been made to keep the studio a safe and appropriate environment for learning and performing dance class. If an injury does occur, the student or student's parent/guardian is responsible for medical expenses incurred and will not hold Schramel Conservatory of Dance liable.

Yes, I understand.

2. *

The Directors and Faculty are qualified to teach students at the appropriate level and have the right to advise a student if they feel the student is not ready for a certain level. I understand that every effort has been made to place students at the appropriate level for their abilities.

Yes, I understand.

3. *

I understand that the student may be touched appropriately by the teacher in order to achieve a certain position of the body as it pertains to the dance form.

Yes, I understand.

4. *

Every parent/guardian is responsible for the student before class time and once the student leaves the studio in which dance class has taken place. The teacher will only release the student to a parent or guardian known to be a responsible party for the student. Once the child leave the studio, he/she must be accompanied by an adult when moving from the Conservatory through the building or to the street.

Yes, I understand.

5. *

All students under the age of 6 must have a parent/guardian in the waiting area during class.

Yes, I understand.

6. *

I certify the student has no health issues which could impact or interfere with their ability to safely participate in dance class. If there is a health issue, I will notify the directors of the problem.

Yes, I understand.

Date *

MM

DD

YYYY