Registration

Click here for a printable copy of the registration and release form, or fill out the form below and press submit. If using the online form, be sure to send payment with your child to the first class. Please read the terms and conditions with your child. In addition, please read the information on the Classes page before submitting your registration.

All returning students must register before June 30th, 2013. After this date, new students may register for available spots.

Please mail the $50 registration fee to this address*:

Grace Machanic
430 S. Fairfax St.
Alexandria, VA 22314

* Make check payable to Grace Machanic. It will not be refunded if your child drops out during the summer.

Date you have registered, in case of over-enrollment:

Please enter information about the student in the fields below:

Full Name:

Age:

Date of Birth:

Street Address:

City:

State:

Zip Code:

Home Phone:

Your Email:

Mother's Name:

Mother's Phone:

Father's Name:

Father's Phone (in case of emergency):

School Name:

Let Out Time:

Usual Easter/Spring Break (i.e., Spring break in March or the week before/after Easter—no dates necessary at this time):

If you carpool, please list names:

Previous Teacher, if applicable:

How did you hear about the School for Swans? Who referred you?
words. Please limit to 200 words or less.

Please do not leave blank even if I have taught your child for years. There is always something new and interesting to add. Help me fully know your child. It helps her more than it helps me. Please indicate anything that would give me insight and sensitivity when teaching her. Are there specific learning disabilities or confidence problems? Does she need extra encouragement? Is she a leader, a follower, a dreamer, inattentive or very focused? Does she listen to music; does she seem to know the beat of a tune; does she play a musical instrument? Does she take correction easily, poorly, defensively? Is she artistic, imaginative, musical or athletic?
words. Please limit to 200 words or less.

Does your child have any medical problems such as allergies, asthma, nosebleeds, diabetes, bladder reflux, epilepsy, etc.? Please inform me of any medical, learning or emotional problems. Each of the above impacts how I handle the child and the class if there is ever a problem.
words. Please limit to 200 words or less.

Please indicate the class in which your child would like to enroll:  Tues. 3:15 Creative Movement, must be age 4 by Sept 1. Tues. 4:15 Beginning Ballet, for 6 year olds with some previous pre ballet Tues. 5:15 Advanced Beginning Ballet, for 7 and early 8 yr. olds with prev. ballet Wed. 3:15 Pre Ballet, for 5 year olds Wed. 4:15 Intermediate Ballet, for 8 and 9 year olds with previous ballet Wed. 5:15 Beginning/Intermediate Tap for 8 to 10 year olds Thurs. 4:15 Advanced Intermediate Ballet for 10 to 12 year olds, pre pointe Thurs. 5:15 Intermediate to Advanced Tap for 11 + year olds Thurs. 6:15 Advanced Ballet, pointe, for 12 + year olds

Would you be willing to be a room mother for your child's class for the rare occasion that I need to communicate with the class? Yes No

Please select a category in which you would like offer help for the recital:  General help with notices and phone calls to my child's class throughout the year Bake cookies or supply ginger ale for the reception Keep order during the rehearsal or the recital Help with the design/production of the recital program

I have read and agree to all of the terms and conditions.