Village Center for the Arts | Register- Join Village!

Name of Student:*

Date of Birth:*

Grade:*

Parent First Name:*

Parent Last Name:*

Home Phone:*

Mobile/Other Phone:

Address:*

Email:*

How did you learn about Village? (check one)

Advertisement
Community Donation
Walk-In/Drive-By
Yelp
Google
Music Store Referral
School
Village Student
Yellow Pages
Other

If "other" please explain.

If you are registering for In-Studio or In-Home Music Lessons, please click here:

Rental Instrument Needed? (check one)

Yes
No

Instrument of Interest (check one)

Guitar
Bass Guitar
Piano
Voice
Alto Saxophone
Tenor Saxophone
Clarinet
Percussion
Trombone
Trumpet
Violin

Lesson Type (check one)

In-Studio Private
In-Studio Buddy (Semi-Private)
In-Home Private
In-Home Buddy (Semi-Private)

Skill Level
/Experience:

Preferred Day of the Week:

Preferred Time (first choice):

Preferred Time (second choice):

Preferred Time (third choice):

Comments
/Special Requests

If you are registering for a School Program, please click here:

School:

Pick up/
Drop Off Instructions:

Returning Student? (check one)

Yes
No

Book Needed? (check one)

Yes
No
I dont know

Program of Interest (check one)

Private Lesson
Semi-Private Lesson
Concert Band (4th/5th grade)
Classroom Music (1st-5th grade)
Group Piano
Group Guitar
Princess Songs
Glee
Storybook Yoga
Yoga for Kids
Musical Revue!

If Music Lessons, please complete the following:

Rental Instrument Needed? (check one)

Yes
No

Instrument of Interest (check one)

Guitar
Bass Guitar
Piano
Voice
Alto Saxophone
Tenor Saxophone
Clarinet
Percussion
Trombone
Trumpet
Violin

Skill Level
/Experience:

Comments
/Special Requests

If you are registering for an in-studio Group Class here at the Center, please click here:

Programs of interest (check all that apply):

Village Music School Classes:

Beginning Piano (Grades 1-5)
Beginning Guitar (Grades 1-5)
Beginning Drums (Grades 1-5)
Guitar (Age 12+)
Beginning Drums (Age 12+)

Toddler and Preschool Classes:

Andrea's Musical Adventures: Let's Make Music! (ages 12 mo-3.5 years)
Monday 5:30pm-6:10pm
Monday 6:15pm-6:55pm (wear your pajamas!)
Tuesday 9:30am-10:10am
Tuesday 10:15am-10:55am
Andreas Musical Adventures: Piano and Me (ages 3.5 years- 6 years)

Village Theatre Classes:

Songs of a Princess (Age 4+)
Glee (Age 8-12)

Village Yoga Classes:

Storybook Yoga (Age 3-5)
Yoga For Kids (Age 6-8)
Adult Yoga-Sunday Community Class (for a limited time)

Summer Camps:

Village Center Summer Camp: Camp Superstar!(grades K-5)
July 8-12
July 15-19
July 22-26
Andreas Musical Adventures Summer Camp: (4-7 years-3 yr welcome w/sibling)
Castle Tales I - Aug 5-9
Castle Tales II - Aug 12-16

Comments
/Special Requests