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Shovlin Academy of Irish Dance Registration: Summer 2017
CLASS DATES: 5 weeks - Mondays/Wednesdays
Mondays:
June 26
No class 7/3-Holiday Weekend
July 10
July 17
July 24
July 31

Wednesdays:
June 28
July 5
No class 7/12-Irish Day @Kennywood
July 19
July 26
August 2

REGISTRATON DETAILS:
• Please register by June 1st
• Enroll in dancer’s current class level
• Registration form is required for each student
• Tuition due 1st day of class.

CLASS SCHEDULE
Mondays
Beg & Adv Beginner 5:00 – 6:00pm
Novice I & Novice II 6:15 – 7:30pm
Open & Open/PC 7:45 – 9:15pm

Wednesdays
Novice I & Novice II 6:15 – 7:30pm
Open & Open/PC 7:45 – 9:15pm

NOTE: Novice, Open and Open/PC Dancers arrive 15 minutes prior to class to warm-up.
Thursdays available for private or semi-private class time.

TUITION PAID BY CHECK:
Make payable to - Shovlin Academy of Irish Dance

TUITION PAID BY CREDIT CARD:
http://shovlinacademy.com/registration.php

Summer Registration Form 2017
Class Schedule:
Mondays
Beg & Adv Beginner 5:00 – 6:00pm
Novice I & Novice II 6:15 – 7:30pm
Open & Open/PC 7:45 – 9:15pm

Wednesdays
Novice I & Novice II 6:15 – 7:30pm
Open & Open/PC 7:45 – 9:15pm
NOTE: Novice, Open and Open/PC Dancers arrive 15 minutes prior to class to warm-up.

Registration - Required for each student
• Registration due by June 1st.
• Tuition is due 1st day of class.
Tuition - 1 class per week
Tuition - 2 classes per week (Novice/Open)
Summer Registration 2017-Mondays
Summer Registration 2017-Wednesdays
Summer Registration 2017 Mondays & Wednesdays
Student's Name (First & Last)
Your answer
Student's Date of Birth
Your answer
Parent/Guardian Full Name #1
Your answer
Parent/Guardian Full Name #2
Your answer
Email Address (to receive all dance school info)
Your answer
Additional Email Address
Your answer
Street Address
Your answer
City/State/Zip
Your answer
Home Phone Number
Your answer
Mobile Phone Number
Your answer
Refund Policy
The Registration Fee is non-refundable. Only those classes that take place after the School is contacted about a student's withdrawal will be refunded (i.e., past-tense missed classes will not be refunded). Any discounts will no longer apply. Students withdrawing will be refunded money paid minus $15 per student per class for those classes that have taken place prior to the point of formal withdrawal.
Release/Waiver
I am the parent/guardian of this student and hereby request that he/she be permitted to engage in Irish Dance class, utilizing facilities owned, operated and/or maintained by Dormont Municipal Building, Pittsburgh, PA. I expressly acknowledge and recognize that participation in said dance activities creates a rise of injury to person or property and hereby expressly release, remise and forever discharge the class instructors and their assigns, Dormont Municipal Building, Pittsburgh, PA and its officers, agents and employees from any liability for any and all claims, suits or causes of action arising from injuries to the person or property of the student named above as a result of his/her use of recreational facilities owned, operated and/or maintained by Dormont Municipal Building, Pittsburgh, PA.

My submission of this registration confirms that this student does not have any pre-existing medical condition that would prohibit or limit their full participation in his/her class curriculum. Should my child/this student have a pre-existing medical condition that would limit or prohibit his/her full participation in his/her class curriculum, I will provide written medical clearance from his/her primary care physician prior to admittance as a student of the Shovlin Academy of Irish Dance.

I have read this release and intend to be legally bound by submission of this registration.

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