McFadden Academy of Irish Dance 2017-2018 Registration
$30 (1) dancer $40 (2) dancers $50 (3 or more) dancers Registration fee is non-refundable
Dancer's Last Name *
Your answer
Parent or Guardian *
Your answer
Street Address *
Your answer
Town and Zip Code *
Your answer
Home Phone *
Your answer
Work Phone *
Your answer
Cell Phone (1) *
Your answer
Cell Phone (2)
Your answer
E-Mail Address *
Your answer
Dancer (1) Name *
Your answer
Dancer (1) DOB *
MM
/
DD
/
YYYY
Dancer (2) Name
Your answer
Dancer (2) DOB
MM
/
DD
/
YYYY
Are there any special needs or circumstances that the teacher should be made aware of (i.e. allergies, asthma etc.) Please list anything that seems necessary. Please make special notes of any food allergies
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