PO Box 184, Hokah, MN 55491

Phone: 608-397-0206
Email: lacrescent.arts.academy@gmail.com
Web: lacrescent-hokah-arts-academy.weebly.com

Registration Form for Lessons and Classes in Hokah for the

Spring Session
Parent Name:

Student Name:

Address:

Phone:

Email:

Alternate Phone:

Monthly Amt

Session Amt

Your Total
30 Minute Lesson full
session
30 Minute Lesson half
session
Drama Club: grds 1-4
Vocal Ensemble I: grds 5-8
Vocal Ensemble II: grads 8-12
TOTAL
New Student Registration
fee

TOTAL

(3 payments)
$55

$165

N/A

$80

$20
N/A
N/A
--------------------------------------------------------------------------------------------

$60
$25
$25
---------------------------

$30
------------------------

=
+

Registration for Spring session begins March 2. LCHAA will be closed March 610.
LCHAA will accept registrations online. If you would like to register in-person,
please call to make an appointment. Please mail your payment to the address
listed above or bring it to the first lesson. Classes and Lessons begin March 16
and run through May 29.
Those who choose to pay monthly must bring their payment on the first week of
each following month until the balance is paid. Late fees will be assessed if
payment is not received on time.

Do you give permission for your child to be photographed for promotional

materials?
Yes / No Signature of parent/adult student
_______________________________________

Did you read the Academys policies and agree to them?

Yes / No Signature of parent/adult student
________________________________________