Registration Form

Registration for Full of Grace

Preballet / Creative Movement / Music Appreciation
Taught by Virginia Britton - virginiabritton.com
Text: 703-568-4425
Location of classes: Local Motion Project
2377 S. Dove Street
Alexandria, Virginia 22314

Child's Name:Date of Birth:Names of Parents:Phone number:Emergency contact:Address:Email address:

Can Local Motion send you schedule emails? Yes No

Any allergies / illnesses?

Payment & Schedule Information

Please pay by check on the 1st class of the month.

Tuition is based on $25.00 multiplied by the number of classes in the month.

Name:Date:Date of Birth: