Dance Registration Form
January 2026 - June 2026
Student Name
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Age as of Jan 1, 2026
*
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Any medical conditions or allergies we need to be aware of
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Parent/guardians name if under 18 years
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Email
example@example.com
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Emergency contact
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Dance Class style
Intro to Dance ages 2 - 4
Modern Dance Program
Highland Dance Program
Step Dance Program
Intro to dance - 2-3 years old
30 minute class/week $273
Intro to dance - 3-4 years old
30 minute class/week $273
Please select all that apply! If wanting to take Acro, please select ballet or jazz!
Are you currently or will you be competing with the Modern Dance program?
*
Yes
No
Introduction to Acro ages 5-7
Group 30 minute class/week $273
Ballet Classification
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Is your Ballet dancer interested in being assessed for Pointe classes?
Yes
No
Hip Hop Classification
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Jazz Classification
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Acro Classification -In order to take Acro, students must also take Jazz, Ballet or Conditioning or a second Acro class
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Conditioning - This is an alternative or in addition to Acro and students must also be taking Jazz or Ballet
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Tap Classification
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Contemporary Classification
Group 30 minute class/week $273
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Highland Class Location
Summerside
Charlottetown
Highland Classification
Primary
Beginner
Novice
Intermediate
Premier
Adult
Highland Class Type Charlottetown
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Primary Group Class - Returning - 60 minute class/week $378
Primary Group Class - New - 30 minute class/week $273
Highland Class Type Summerside
Group 1 hour class/week $378
Private 30 minute class/week $420
Private 1 hour class/week $630
Primary Group Class - New - 30 minute class/week $273
Primary Group Class - Returning - 60 minute class/week $378
Step Classification - Group classes
First Steps 30 minute class/week $273
Beginner 30 minute class/week $273
Novice 1 hour class/week $378
Advanced 1 hour class/week $378
Adult 30 minute class/week $273
Adult 1 hour class/week $378
Step Classification - Private classes
Novice 30 minute class/week $420
Novice 1 hour class/week $630
Advanced 30 minute class/week $420
Advanced 1 hour class/week $630
Adult 30 minute class/week $420
Tuition Calculation
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I hereby grant permission to The College of Piping and Celtic Performing Arts of Canada and its representatives to photograph and video the student, and otherwise capture images of the student during the regular teaching year, recitals, performances and events. These images and the students name may be used for promoting, publicizing or explaining The College of Piping and Celtic Performing Arts of Canada and its activities for administrative and educational purposes.
*
Yes, I give permission
No, I do not give permission
Class Amount
One Time Convenience Fee
Payment Options: You can choose to pay in 2 payments OR 3 payments . The first payment is due with the form completion. A preauthorized credit card is required. Two payments - second payment May 1/26. Three payments - March 1/26 and May 1/26. Note: There will be no single payment option, this will allow for any credits to be applied before the final payment.
*
2 payment
3 payments
Total 2 payment
Total 3 payment
Total
Total due today
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I have summited a credit card in the past and would like this to be used for future payments
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No, you will be contacted to provide this inforamtion
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