Irish Dance FALL Session 2018
Child's Name *
(Last Name, First Name; example: Siefer, Kerry)
Your answer
Grade Level *
Your answer
Dance Level *
*Please also check hardshoes if your dancer is an Intermediate or Advanced Dancer and is in Grades 3 or up
Required
Parent Email *
*for Irish Dance News emails
Your answer
Parent Phone Number *
Your answer
Emergency Contact *
Your answer
Medical Conditions/Allergy Information
Your answer
Total fee owed? *
Your answer
Check Number *
Please make checks payable to Saint Francis Xavier School
Your answer
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