Laois Dance Academy  Dance Intensive 2022

Classes location:
Dance Laois
Ensemble Dance Studio
Hynds Square
Portlaoise, Co. Laois

Ph: 087 1328852
Sign in to Google to save your progress. Learn more
Email *
Student's Full name: *
Date of birth: *
Parents(s) Name(s): *
Contact number: *
Dance Intensive is a package of 3 days classes.
Senior group: 11am - 2:30pm (30min break)
Junior Group: 3 - 5pm (15min break)
Your Address: *
Any  Known allergies/illness that may affect your child while dancing: *
Any further comments regarding your child’s dancing: *
Laois Dance Academy Safety Protocol:                                                                                                                                                                                                1) Class size: 2 pods of with 5 children (in each) withing 1,5 - 2 metres distancing;  2) Limited number of adults in the building - If your child is over 7 years old, please refrain in entering in the building;  3) Hand sanitizing before and after class; 4) Contact tracing; 5)Fresh air circulation at all times.  6) Face covering is optional during class; 7)Studio is cleaned after each lesson. 8) staggered entrances/exits between classes. Please confirm if you agree with our Safety Protocol *
Laois Dance Academy may take photos and  videos of class activities to use in local media for promotion of the School, If you object  please tick 'no' *
I understand this registration is only valid after the fee payment  and is not refundable. *
Signature (Please type initials and full name) *
Payment Details:
PAYPAL:   (Click on the link)


Laois Youth Dance Ensemble
Account Number: 49300029
Sort Code: 933279
IBAN: IE46AIBK93327949300029

***Term 3 (6 weeks term): 50 Euros for up to 40min weekly lesson; 60 euros for over 45min weekly lesson

***After paying, please send a text to 0871328852 confirming the payer's name (Card holder/Paypal username) and child’s name and class
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy