Hands In
Motion

You will receive a confirmation email within 7 days.  Please notify your supervising teacher and request vouchers.  Please bring vouchers or full payment to the first day of class.  
Thank you, you will receive an email confirmation with further class details.

For your convenience we offer pay for tuition through Paypal, however, we are unable to honor cash discounts.  Discounts are honored through cash or check paid in full.  Thank you!
Class Registration  
                      Please complete a separate registration for any siblings enrolling.

 Child's Name:

 Parent's Name:

 Home Address:
  (w/city)

 Phone                                                                                               

 Parent Email                                                                                                                                                   
Do you belong to a Charter                        If so which one?  

Supervising Teacher 

Teacher Email                                                       Phone:

Child's Age                                     Gender

Does your child have any physical or learning needs?                
Classes you would like to attend:

If your child has any physical or learning disabilities please also give a brief description below.

        Class                                   Day                Time
It is the parent's responsibility to know their charter's requirements regarding supervision.


Please indicate T-Shirt size for FALL
Registration
For Fall ONLY
After completing the above registration including class requests, please submit registration fee.  This is a nominal fee to secure your student's spot in the class. This is non-refundable unless the class is full and we cannot accommodate your request.

In order to keep our prices affordable we ask for 
$15 for 1 student or
$25 per family up to 4 students

If you would prefer you may mail a check to Hands in Motion
C/O VCA
301 West Whyte Ave.
Roseville, CA 95678
Class Payment
Remember to SUBMIT your registration