After school and weekend classes Registration

Student Information

Medical Information

Classes Interested (Select Preferred Class level / timing)

Languages

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Instrument

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Vocal Lessons

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Dance Lessons

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Academics

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Arts & Crafts

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Yoga

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Culture

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Parent Information  (is required for students under 18)

Local Emergency Contact

Fees and Payment

  • One time annual non-refundable registration fee of $30 is payable to Samspra Academy at the time of registration.

  • Tuition is due on the 1st day of class payable to Samspra Academy. Late fee of $10 will be applied to payments made after 7th of the month.

  • Both monthly and semester payment options are available. Discount applies to semester pay.

How would you like to pay ?

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Above information is correct to my knowledge.

I authorize Samspra Academy to render services / seek medical help to the student. I understand that I am financially responsible for any expenses.

I have read and understood Samspra Academy's Policies and Guidelines and I will abide to it.

Parent's / Guardian's signature :

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Contact

512-963-4822

Samspra Academy

9912 Vikki Ter,   Austin - 78736

© 2019 SAMSPRA ACADEMY, SCHOOL OF BALANCED ACADEMIC EDUCATION & CULTURAL ENRICHMENT