New Student Registration STUDENT INFORMATION Name* First Last Date of Birth Present School Grade CURRENT CONTACT INFORMATION Present Address Street Address City State / Province / Region ZIP / Postal Code Cell Phone Home Phone PARENTAL INFORMATION Mother Father Mother’s Name Father’s Name Mother’s Place of Work & Title Father’s Place of Work & Title Mother’s Email Father’s Email How did you hear about our classes? Carmel Distribution ITA Newsletter Good Day Carmel ITA Emailed Facebook Flyer Other (Please specify) What do you expect from this program? What special things should we know about your child? Please tell us about his/her previous arts experience PAYMENT DETAILS Registration Fee*$10 per Single Class$25 All Programs/Year Please select your program(s) YOUTH/TWEENS/TEENS Public Speaking Essentials – Ages 8-14 Sept 5 – Oct 24, Mondays 6:00-6:55 pm; Fee: $112 The Leader In You – Ages 10-14 Nov 7 – Dec 12, Mondays 6:00-6:55 pm; Fee: $84 Show Choir Performance – Ages 8-13 Oct 11 – Dec 13, Tuesdays 6:00-7:25 pm; Fee: $210 For Girls Only – Ages 7-12 Sept 1-Oct 6, Thursdays 6:00-6:55 pm; Fee: $91 Etiquette Kingdom Ages 7-12 Oct 20 – Dec 8, Thursdays 6:00-6:55pm; Fee: $105 Actors Take the Stage Ages 8-13 Sept 3 – Nov 12, Saturdays 12:00-1:00 pm; Fee: $154 PRESCHOOL/YOUTH Show Choir Kids – Ages 4-7 Oct 11 – Dec 13, Tuesdays 5:00-5:55 pm; Fee: $140 Early Readers & Writers – Ages 3-5 Sept 1 – Oct 13, Thursdays 10:00-10:45am; Fee: $98 Logic & Movement – Ages 3-5 Sept 1 – Oct 13, Thursdays 11:00 – 11:45am; Fee: $98 Good Manners – Ages 4-7 Oct 6 – Nov17, Thursdays 5:00-5:45pm; Fee: $105 Music for Little Mozarts – Ages 3-5 Sept 10 – Oct 29, Saturdays 10:00-10:45 am; Fee: $112 Stage Adventures Performance – Ages 4-7 Sept 3 – Dec 17, Saturdays 11:00-11:55 am; Fee: $196 HOME SCHOOL Intro to Speech– Ages 7-12 Sept 6 – Oct 18, Tuesdays 11:30am-12:25pm; Fee: $98 Music – Ages 7-12 Sept 7 – Oct 19, Wednesdays 11:30am-12:25pm; Fee: $98 Singing & Dancing – Ages 7-12 Oct 25 – Dec 6, Tuesdays 11:30am-12:25pm; Fee: $98 Intro to Theatre – Ages 7-12 Oct 26 – Dec 7, Wednesdays 11:30am-12:25pm; Fee: $98 MAIN STAGE CLASSES Show Choir – Ages 4-8 Sept 7 – Dec 14, Wednesdays, Skip: Nov 23 4:30 – 5:25PM; Fee $170 Stage Adventures – Ages 4-8 Sept 7 – Dec 14, Wednesdays 5:30 – 6:30PM; Fee $170 Show Dance – Ages 5-10 Sept 15 – Dec 15, Thursdays 4:30 – 5:25pm; Fee $160 Chess – Ages 4-8 Sept 8 – Oct 20; Oct 27 – Dec 15th Thursdays, 5:30 – 6:30PM; Fee $84 (each session) Performance Troop: Youth – Ages 4-8; 9-14 August 4 – September 8, Thursdays Time: 4-5:30pm (4-8); 5:30-7pm (9-14); Fee: $99 Musical Theater – Ages 9-13 Sept 15 – Dec 15, Thursdays, 5:30 – 7:00pm; Fee $250 Chess – Ages 9-14 Sept 7 – Oct 19; Oct 26 – Dec 14th Wed, Skip: Nov 23 5:30 – 6:30PM; Fee $84 (each session) Programs Selected Public Speaking Essentials Price: $112.00 The Leader In You Price: $84.00 Show Choir Performance Price: $210.00 For Girls Only Price: $91.00 Etiquette Kingdom Price: $105.00 Actors Take the Stage Price: $154.00 Show Choir Kids Price: $140.00 Early Readers & Writers Price: $98.00 Logic & Movement Price: $98.00 Good Manners Price: $105.00 Music for Little Mozarts Price: $112.00 Stage Adventures Performance Price: $196.00 Intro to Speech Price: $196.00 Music Price: $196.00 Singing & Dancing Price: $196.00 Intro to Theatre Price: $98.00 Show Choir Price: $170.00 Stage Adventures Price: $170.00 Show Dance Price: $160.00 Chess Price: $84.00 Performance Troop Price: $99.00 Musical Theater Price: $99.00 Chess Price: $84.00 TOTAL FEES Total $0.00