Broadway Upstate School of Performing Arts

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CLASS REGISTRATION FORM

Summer Classes start July 5(Monday) and run until August 14th(Saturday).
The rates for one class is $90/summer. 2nd Class is $85/Summer & 3 class(any additional classes) Will be $80/summer. *Ballet 3/4 is $108 for the summer.

If you would like help filling this form for your child and getting recommendations for levels please reach out to us at bwayupstate@yahoo.com. Please note the * next to upper level classes. Those require approval from instructor to join.

Email *

Students Name *

Parents or Guardians Name(s) *

Students Date of Birth *

Address( please include city, state, zip code) *

Phone Number (Home) *

Phone Number (Cell) *

Medical Conditions and/or Diagnosis: this information is strictly confidential and will only be shared with the teacher to help them best instruct your child (IE- ADHD, ADD, social anxieties, physical concerns or limitations, etc.) ____________________________________________________________________________________ *

Allergies *

Emergency Contact Name and Phone Numbers *

Class offerings are listed below. Please note classes with an * need prior approval to join.

Email bwayupstate@yahoo.com with class questions before you sign up. Thank you

Acting Classes

Acting 1 this class is for students ages5-7 with Tracey Wesley Saturdays 1pm-2pm

Acting 2 this class is for students Ages 8-11 with Tracey Wesley Saturdays 11am-Noon

Acting 3 this class is for students Ages 12 &up with Tracey Wesley Saturdays Noon-1pm

BALLET CLASSES

Pre Ballet with Lisa Higley Ages 4-6 Weds 3:30-4:15pm

Ballet 1/2 with Grace Harris Ages 7 & up Tuesdays 4:30-5:30pm

*Ballet 3/4 with Lisa Higley *Min of 3 years prior ballet training Weds 4:30-6pm

Contemporary/Modern Dance

Contemporary/Modern with Grace Harris ages 10 & up Monday 4:30pm-5:30pm

Clear selection

HIP HOP CLASSES

Hip Hop 1 Ages 5-7 with Heather Hayes Saturdays 10am-11am

Hip Hop 2/3 Ages 8 and up with Lisa Higley Thursday 4:30pm-5:30pm

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Jazz Dance

Open Jazz Class for Students ages 10 & up

MUSICAL THEATER DANCE CLASSES

Musical Theater Dance 1/2 with Heather Hayes Ages 7 & up Saturdays 9am-10am

Musical Theater Dance 3/4 with Rachel Seebode*must complete levels 1 & 2, Fridays 3:30pm-4:30pm

TAP DANCE CLASSES

Tap 1/2 with Rachel Seebode ages 7 & up Thursdays 3:30pm-4:30pm

Tap 3/4 with Rachel Seebode* must complete prior levels Fridays 4:30-5:30pm

YOGA Class

Open Yoga Class for ages 10 and up Grace Harris

A copy of your responses will be emailed to the address you provided.

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