Summer Registration

Step 1 - Student information

Please provide the following information:
(Required fields are marked with an asterisk.)

Status* New Student  Returning Student
 
New students registering for private music lessons must contact the
CSA program staff before registering. Please call 704.377.4187.
Student's Full Name*
Street Address*
City*
State*
Zip*
Date of Birth*
Age  
Gender* Male Female
Race (optional)
Phone (home)*
Phone (cell)
Phone (work)
E-mail*
Community School of the Arts is committed to protecting your privacy. We will not use or disclose any information collected about you other than for the purpose for which it has been provided. CSA will not use, sell or disclose your information for any other purpose without your consent unless required or authorized by law.
Parent/Guardian Information (ages 18 & under - these are required only if the child is under 18)
Parent Name
Phone (home)
Phone (cell)
Phone (work)
Emergency Contact Name*
Phone*
Child's School*

*My child may be photographed for promotional materials for CSA:
Yes
No

*How did you hear about Community School of the Arts?

*I have read and understand all of CSA's policies and procedures and agree to adhere to them.

Class:

 


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Community School of the Arts | 704.887.0291 | registration@csarts.org
 

345 N. College Street, Charlotte, NC 28202
Phone: 704-377-4187
Fax: 704-377-1132