REGISTRATION FORM

Please return with $50.00 deposit:

Make check payable to: Cortland Performing Arts Institute

Mail to: Cortland Performing Arts Institute

64 Main St. Suite 111

Cortland, NY 13045

For information email: or call: 607.299.4343

Student Name

D/O/B Grade attending in Fall 2011

Address

E-mail: ______

Phone: ______

Circle Program(s) enrolling in:

Little Stars Spotlight Kids Broadway Bound 1 Broadway Bound 2

Ballet Workshop Kids Hip Hop Teen Hip-Hop Adult Tap

Broadway Bound 3 SMTI

In case of Emergency contact:

Name

Phone

WAIVER:

I ______parent or guardian of ______

understand inherent risks are associated with every recreational activity. Participants assume these risks when they agree to participate. All participants are required to secure health insurance coverage and strongly advised to visit their physician for a physical examination prior to registration or participation.

I certify that the student is in good health and has no limitations other than those listed below which may predispose the student to risk while participating in this program

Signed dated

Comments/ Special needs/Limitations: please write on reverse

PAI SUMMER 2011

WEEK # 1 August 1st – August 5th

Pre-school Program: Visitors’ Day: Fri 8/05/10

LITTLE STARS: 9:30-10:15am (3-4 yrs. old // fee: $55.)

A program in dance for pre-school age children. Classes are energetic and exciting, encouraging the students to use their imaginations and bodies to dance and express themselves. Children are exposed to movement with music and rhythmic patterns. Basic dance exercises help develop coordination, balance and confidence.

Primary program: Visitors’ Day: Fri 8/05/10

SPOTLIGHT KIDS 10:15-11:15am (5-6 yrs. old // fee: $65.)

This class begins development of dance technique. Various exercises and ‘combinations’ encourage development of flexibility, balance, musical appreciation and physical creative expression. Students are encouraged to develop coordination and imaginative expression.

Elementary program: Visitors Day: Fri 8/05 @ 3:00-4:00pm*

BROADWAY BOUND 1 1:00-3:00pm (1st-2nd grade // fee: $90.)

A theatre and dance program with focused technique classes in the various disciplines incorporated in the Musical Theatre; Acting, Voice, and Dance.

BROADWAY BOUND 2 9:30am-12:30pm (3rd -5th grade // fee: $115.)

A theatre and dance program with focused technique classes in the various disciplines incorporated in the Musical Theatre; Acting, Voice, and Dance.

DANCE WORKSHOPS 4th grade through Adult

Ballet (Interm./Adv) Workshop: 430-5:45pm (Jr. High/High School // fee: $70.)

Kids’ Hip Hop 5:00-6:00pm (4th – 6th grade // fee: $65.)

Teen Hip Hop 6:00-7:00pm (Jr. High/High School // fee: $65.)

Adult program: Tap Camp 6:00-7:00pm (Adults // fee: $55.)

WEEK # 2 August 8th – August 13th

Elementary program: Presentation: Sat 8/13 @ 2-3pm*

BROADWAY BOUND 3: 9:30am-12:30pm (4th-5th grade // fee: $125.)

A theatre and dance program with focused technique classes in the various disciplines incorporated in the Musical Theatre; Acting, Voice, and Dance.

Jr. High/High School Program Presentation: Sat 8/13 @ 2-3pm*

SUMMER MUSICAL THEATRE: SMTI 10am-4:30pm (// fee: $190.)

One week musical theatre workshops for students in Jr. High/High School. This is an intensive training program of technique in Acting, Dance and Vocal performance work. Saturday afternoon, on the final day of the program, we will present an “informal” demonstration of the students’ work. The program’s daily schedule is divided into courses that focus on specific aspects of Musical Theatre technique and training