iller School of Irish Dance

You don't have to be Irish to learn and enjoy Irish Dancing!
About Info & Rules Register News Feiseanna Photos Upcoming Events Links Home Contact

CHILDREN'S REGISTRATION PAGE

Thank you for taking the time to visit our website and register your child for an upcoming session. Kindly fill out the form below, and we will contact you shortly. Please review the Codes of Conduct to ensure that your child has an enjoyable time at every class.

Children's Registration Request Form

Dancer's Name:
Date of Birth:
Age:
Phone (Home):
Phone (Alt.):
Address:
Email:
Parent/Guardian Full Name:
Parent/Guardian Mobile:
Emergency Contact
Any Medical Conditions (Please describe)

Shoe Size
Comments:

 

Send mail to Rayonne Chavannes with questions or comments about this web site.
Copyright © 2006 Miller School of Irish Dance
Last modified: May 17, 2008 by C. Miller