Use the following form to submit your registration. You must fill the form out once per student. You will not be charged now. We will follow-up with you for payment.
Special Request or Medical Conditions
How Did You Hear About Us?
Waiver: I agree to make tuition payments listed in the school policies document, and attest, as a registrant, or as parent or legal guardian, the student named is physically able to participate in Charlottesville Performing Arts School’s instruction and performance activities. While participating in these activities, I hereby waive and release all claims, liabilities, actions, damages, costs or expenses of any nature whatsoever for injuries the registrant might sustain, arising out of the dance instruction and performance activities now or at any time in the future. Further, the registrant, or their parent or guardian agrees to indemnify and hold harmless Charlottesville Performing Arts School, Lea Moore and any instructors associated with her programs, from and against any and all liabilities, claims, actions, damages, costs or expenses of any nature whatsoever. By registering, I agree to the terms of this liability waiver and release. I give permission for photographs to be used for any promotional materials.
Please confirm your acceptance to the above waiver: Yes
Please enter the following code in the space provided
(Please only click the button once. It may take 30 seconds and not change screens until complete. Once you receive the thank you page you have registered!)