Are you an educator looking to receive CEUs?

  • Yes
  • No

What grade is the student currently in?

  • 5th
  • 6th
  • 7th
  • 8th
  • 9th
  • 10th
  • 11th
  • 12th
  • Other

Is the Parent Home Address the same as the Student Home Address?

  • Yes
  • No

Has your child taken classes through the Continuing Education department at CIA before?

  • Yes
  • No

Have you submitted a young artist medical form for your child within the last year?

  • Yes
  • No
  • Not sure

Photo release:

  • Please check this box if you do not want your child photographed or videotaped by CIA. If this box is unchecked you are agreeing to allow any photos or video of your child while in classes at CIA to be used in any CIA publications.

Preferred Contact Method:

  • Cell Phone
  • Home Phone
  • Work Phone
Select Young Artist Course(s): Select Adult Course(s):