MENU
CLOSE
2019-20 APPLICATION
Before/After School
Country
Address Line 1
City
State
Postal Code
PARENT/GUARDIAN INFO
First Name
Last Name
Country
Address Line 1
City
State
Postal Code
PERSONS (AGE 16 OR OLDER) AUTHORIZED FOR PICK UP OTHER THAN PARENT
EMERGENCY CARE INFORMATION
FINE ARTS SELECTION-NOW OFFERING BRASS!
1st Choice
2nd Choice

The Family Educational Rights and Privacy Act is a Federal law protecting student education records privacy. Parents have the right to inspect their child's records and request errors be corrected.

ACKNOWLEDGEMENTS
I understand that my child may be dismissed from the Afterschool/Summer Institute as a result of continuous discipline problems.
I agree that the program operator may authorize the doctor of their choice to provide emergency care if I nor the family doctor can be contacted.
I give permission for use of my child's photo and/or likeness in media related to the Afterschool/Summer Institute.
Scholarship Request
If Applying for Scholarship, Income Verification Required.

***$25 APPLICATION FEE REQUIRED TO PROCESS***

Credit Card Information
Visa MasterCard American Express Discover
Cover the fee associated with this online transaction?
Cover the fee associated with this online transaction?
Amount
Your total payment will be

What We Do

Programs

Academics and the Arts are rooted in all we do. Check out our programs.
Read more.

Events

If beauty is in the eye of the beholder, BEHOLD our upcoming and past events!
Read more.

Volunteer

Want a closer brush with Charlotte CSA? Sign up to volunteer and we'll put your talents to good use.
Read more.

Partners