BRIMS
214 Rugby Road
Charlottesville, VA 22903

 

Name:

 

Name(s) of family members and ages of children (if applicable):

 

 

Address:

 

 

Telephone:

 

 

Email:

 

What instrument(s) do you play?

 

Do you dance?

 

Special interests in Irish music (i.e. set dancing, Donegal fiddling style, etc.):