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To register for class fill out this form and mail in this form and your payment as indicated below:
Students name:___________________________________Date of Birth:_____________________
Parent's names (if student is under 18):___________________________________________________
Address:_______________________________________________________________________
City, State, Zip___________________________________________________________________
Phone numbers__________________________________________________________________
Years of training:_________________________________________________________________
Emergency contact:______________________________Email:___________________________
Please list any Allergies, ailments, or special medical conditions, past or present, of which The
Alexandria Ballet should be aware___________________________________________________
______________________________________________________________________________
Classes / level:____________________________Days:_________________Time:____________
Semester (3 months) Cost of Class_____________+ Registration fee $45 =Total Due___________
The recital will be the last Saturday in May 2008.
Please send this form and a check or money order made out to:
Virginia Britton
3421 Valley Drive
Alexandria VA 22302
I have read, understand and agree to abide by The Alexandria Ballet - Conditions for Enrollment, Liability
Release and Medical Release 2007-2008 (rev 3) 7/22/07 .
Sign: Student ____________________________________________Date__________________
(or parent or legal guardian if under 18)
(For office use: check #________amount________date________)
-------------------------------------------END OF REGISTRATION FORM------------------------------------------
(Some of the conditions form may print out below but it is not necessary to mail in that part of the form)
The Alexandria Ballet - Conditions for Enrollment, Liability Release and
Medical Release 2007-2008
Virginia Britton, Director 703-379-8997
Home office 3421 Valley Drive, Alexandria Virginia 22302
Liability Release: I am aware that dance training and the athletic exercises associated with it place
unusual stress on the body and carry the risk of physical injury. On behalf of my child and myself (and if I
am no longer a minor, on my own behalf), I assume the risk and agree that The Alexandria Ballet shall
not be liable in any way for injuries sustained during attendance at the ballet school or any of its' related
functions. I understand that good ballet training involves touching and adjustment of the student's body
by the instructor.
Medical Release: In the event I cannot be reached, I hereby give my permission to the management,
faculty staff and chaperons of The Alexandria Ballet to authorize any emergency medical care that may
be required by my child or ward during participation in classes, performances or any related Alexandria
Ballet events. This authorization extends as long as the student is enrolled at The Alexandria Ballet. I
understand that I am responsible for any and all charges as a result of such care or medical treatment.
Make up classes: Students in some classes can make up lessons in other groups and are encouraged
to do so, call the 703-379-8997 home office of Virginia Britton to get recommendations. Regular training
is essential for progress in classical ballet as in all physical endeavors, and students who miss too many
lessons, in the opinion of the Director, may be asked to move to the next level down.
Registration forms must be signed and dated by participant or legal guardian if child is under 18.
Students in some classes can make up lessons in other groups and are encouraged to do so, call the
703-379-8997 home office of Virginia Britton to get recommendations.
Regular training is essential for progress in classical ballet as in all physical endeavors, and students
who miss too many lessons, in the opinion of the Director, may be asked to move to the next level down.
Dress Code for students under 18 years: Girls- Plain black leotard, no decorations, Pink ballet tights,
Pink ballet slippers, elastic sewn on over high instep, drawstrings trimmed and tucked under. Hair up
with no moving pieces, avoid decorated accessories. No underwear except ballet bra for older girls.
Small stud earrings are OK otherwise no jewelry or watches. Water bottles are OK for Ballet II and up.
(Optional) Black ballet sweater, pale pink legwarmers. Boys- Plain black close fitting dance pants, heavy
weight cotton blend recommended. White tee shirt, short or long sleeves, tucked in. White socks, white
ballet slippers with elastic sewn on in cross over high instep or across top of instep, no jewelry or
watches. Black leg warmers, white long sleeve turtleneck shirt for winter is ok.
Lateness- students who miss the first warm-ups may be asked to watch class or make up class at a later
date, as the warm up exercises are critical for safety.
Payment of tuition entitles the student to take the class scheduled at their level and at the times listed on
their registration form. No refunds will be given for classes missed by students due to illness, vacation, or
school closings due to acts of God such as inclement weather, etc..
Discipline: Students who are repeatedly disruptive in class, in the opinion of the Director, will be asked
to leave the school. A pro rated refund will be given to the student and they will not be allowed to return
for the rest of that year.
Cancellations: Classes may be cancelled at the discretion of the Director, due to insufficient enrollment,
or other conditions she deems beyond her control . All registered students will receive phone notification
and prorated refunds for cancelled sessions.
Snow: Please look at the snow closings of the Alexandria Public School System. We follow their snow
day or ice hazard closing announcements.
Photos and Video: Parents, guardians, and students grant The Alexandria Ballet use of any recorded
images of themselves in ballet classes, rehearsals or performances.
(rev 3) 7/22/07