New Centre for the Arts Registration Form

In the NEWS!

Sign up for FREE updated schedules and express your areas of interest TODAY! All our classes are scheduled based on DEMAND and CLASS SIZE.

NEW CENTRE FOR THE ARTS
Registration Form

Thank you registering for classes New Centre for the Arts. Complete ONE FORM PER STUDENT PER CLASS. Registration obligates a student to pay for a full semester, session, or class even if missed by the student.

PayPal provides our secure online payment shopping cart. Payments for classes and/or lessons may be made from the respective class or lesson information page.

**$15.00 registration fee is waived if the form is completed online. To print out the Registration Form, please click HERE.

**NOTE: Please do NOT hit your ENTER key until you have finished filling out the form!

STUDENT:	How did you hear about NCA?
SEMESTER: Summer Fall Winter Spring

First and Last Name: Male Female
Address: City/State/Zip:
(Home)Phone: Adult/Students (Work)Phone:
Adult/Parent Email: Cell Phone:
Date of Birth: MM DD YY Age: Grade: School:

PARENT/GUARDIAN(S): If billing is different than above, or if family member surnames differ from each other, please note below)
Mother/Father First & Last Names:
Mother's Work Phone: Father's Work Phone:
Mother's Employer: Father's Employer:

PRIVATE INSTRUCTION:
Instrument: Teacher:
Lesson Length: Frequency:
Preferred Days/Times:
Unavailable Day/Times:
Prior Training/Experience:

CLASSES (Dance, Theatre Arts, Workshops, Music, Other)
Class: Teacher:

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New Centre for the Arts
475C Federal Road, Brookfield, CT 06804
203-775-2804