Registration for the 2018/2019 Dance year!

No registration required for Adult Irish Dance.

Parent/Guardian 1 *
Parent/Guardian 1
Cell *
Cell
Address *
Address
Dancer 1 *
Dancer 1
DOB *
DOB
Dancer 2
Dancer 2
DOB
DOB
Dancer 3
Dancer 3
DOB
DOB
Emergency contact *
Emergency contact
Cell *
Cell
Dancers will be placed in the most appropriate class by Miss Katie & families will be notified via Email. *
My Dancer(s) have an interest in dancing more than 1 day a week. *
Payment *
All Checks made out to: Jamieson Irish Dance
I understand a form must be signed in person before a new dancer will be permitted to participate. *