2025 Fall Class Registration

2025 Fall Registration
DANCE - $75

Starts Saturday, August 16
6 Week Term
Instructor: Mary Ann Trimble

Focus on Nutcracker

-$5 discount for each additional student

DRAMA - $100

Starts Thursday, September 11
10 Week Term
Instructor: Sandy Slayton-Mavrotheris

MUSIC - $100

Starts Thursday, September 11
10 Week Term
Instructor: Rosalyn "Rosie" Craft

Additional Music and Drama classes are $80ea
Adult/Parent/Guardian Info

Fill this section out if you are an adult participant
Name*

First NameLast Name
e-mail*
example@example.com
Primary Phone*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact*
Relationship to Student*
Emergency Phone*
Billing Info
Type a question

Billing Infomation differs from Adult/Parent/Guardian Information
Please note: Parent/Guardian listed above assumes primary responsibility for account maintenance. Billing Info is for contact information only.
Billing Name*

First NameLast Name
e-mail*
example@example.com
Primary Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Info
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Age
Student Cell Phone
New or Returning Student?*

Returning StudentNew Student
1 - Saturday Dance

Choreography for Ballet 9-10:15 a.m. Ages 12-AdultYouth Combo: Ballet & Tap 10:15-11:15 a.m. Ages 5-11Adult Combo: Tap & Musical Theater 11:15 -12:30 p.m. Ages 14-Adult
1 - Thursday Drama

1-1:45pm Ages 6-122-2:45pm Ages 13-18
1 - Thursday Music

1-1:45pm Ages 13-182-2:45pm Ages 6-12
1 Homeschool Total
1 Multi-Class Discount
1 Total
Add Student 2?

Add Student 2
Student 2 Info
Student 2 Name*

First NameLast Name
2 Date of Birth*

MonthDayYear
2 Age*
Student 2 Cell Phone
2 New or Returning Student?*

Returning StudentNew Student
2 - Saturday Dance

Choreography for Ballet 9-10:15 a.m. Ages 12-AdultYouth Combo: Ballet & Tap 10:15-11:15 a.m. Ages 5-11Adult Combo: Tap & Musical Theater 11:15 -12:30 p.m. Ages 14-Adult
2 - Thursday Drama

1-1:45pm Ages 6-122-2:45pm Ages 13-18
2 - Thursday Music

1-1:45pm Ages 13-182-2:45pm Ages 6-12
2 Dance Total
2 Family Dance Discount
2 Homeschool Total
2 Multi-Class Discount
2 Total
Add Student 3?

Add Student 3
Student 3 Info
Student 3 Name*

First NameLast Name
3 Date of Birth*

MonthDayYear
3 Age*
Student 3 Cell Phone
3 New or Returning Student?*

Returning StudentNew Student
3 - Saturday Dance

Choreography for Ballet 9-10:15 a.m. Ages 12-AdultYouth Combo: Ballet & Tap 10:15-11:15 a.m. Ages 5-11Adult Combo: Tap & Musical Theater 11:15 -12:30 p.m. Ages 14-Adult
3 - Thursday Drama

1-1:45pm Ages 6-122-2:45pm Ages 13-18
3 - Thursday Music

1-1:45pm Ages 13-182-2:45pm Ages 6-12
3 Dance Total
3 Family Dance Discount
3 Homeschool Total
3 Multi-Class Discount
Total 3
Add Student 4?

Add Student 4
Student 4 Info
Student 4 Name*

First NameLast Name
4 Date of Birth*

MonthDayYear
4 Age*
Student 4 Cell Phone
4 New or Returning Student?*

Returning StudentNew Student
4 - Saturday Dance

Choreography for Ballet 9-10:15 a.m. Ages 12-AdultYouth Combo: Ballet & Tap 10:15-11:15 a.m. Ages 5-11Adult Combo: Tap & Musical Theater 11:15 -12:30 p.m. Ages 14-Adult
4 - Thursday Drama

1-1:45pm Ages 6-122-2:45pm Ages 13-18
4 - Thursday Music

1-1:45pm Ages 13-182-2:45pm Ages 6-12
4 Dance Total
4 Family Dance Discount
4 Homeschool Total
4 Multi-Class Discount
Total 4
Notes:
Terms and Conditions
Today's Date

MonthDayYear
Date
By agreeing below and submitting this form, you, the Participant or Parent or Guardian of the above student(s), agree to release STAAR, including instructors and assistants, from liability for any and all injuries which may occur while rehearsing, practicing, performing, or during any STAAR event or activity. You also agree that you are responsible for health and accident insurance and any medical costs incurred due to injury. You give permission for emergency medical transportation and treatment of you or your student(s) at your expense should the need arise.

I agree
Photo Release: By participating in a STAAR event, I understand that STAAR has the right to photograph me/my child and use the photo and/or other digital reproduction of my/their physical likeness for advertising and/or publication processes, whether electronic, print, digital or electronic publishing via the Internet.*

I understand
Totals
Family Dance Discount
Homeschool Multi-Class Discount
Total Tuition
Cash/Check Price
Card Price
Payment is required to secure a place in each class. Class sizes limited. You may bring cash or checks to 103 N. First Street, Pulaski between 9 a.m. and 5 p.m. Monday-Friday.

I will pay via cash or check and understand my spot is not secure until payment is received.

Square Check-out

USDEnter CARD PRICE from above

Credit Card

Should be Empty:

2025 Fall Registration

Adult/Parent/Guardian Info

Billing Info

Student Info

Student 2 Info

Student 3 Info

Student 4 Info

Terms and Conditions

Totals

Credit Card