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Fairytales in Motion
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Fall 2010

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Maryland and DC Classes schedule Click Here!

Virginia Schedule
Click Here!

 Registration Form Click Here!

Performing Arts Camp Schedule

Student’s Name_________________________

Age_____Sex____

Parent’s Name____________________

Home Phone______________________

Business Phone____________________

Address__________________________

City______________St____Zip_______

Email Address_____________________________

Class/Camp Code:
1st choice______2nd choice_______

I, ___________________________________
have enrolled my child __________________
in a program of physical activity including but not limited to creative movement and or Ballet/Jazz.

I hereby affirm that my child is in good physical condition and does not suffer from any disability that would prevent or limit his/her participation in this program.

In consideration of my child’s participation in Fairy Tales in Motion, I ______________________________
for my child, myself, my heirs and assigns release Fairy Tales in Motion (it’s members and owners) and Belle Haven Country Club, (It’s members and owners) from any claims, demands and causes of action resulting from any participation in the dance program.

____________________________________
Parent or guardian’s signature and date

Please mail this form along with check for payment in full to:

Jan Taylor
P.O. Box 51
Brookeville, MD 20833-0051
301-253-0484

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