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Student Registration and Acknowledgement
MSD Irish Dance Academy welcomes you! Please complete this online enrollment form.
It should take 7 to 10 minutes to complete this form.
You will need the following information:
Student Contact and Health Information
Emergency Contact and Full Name for Individuals allowed to pick-up student from class
Before you start you will want to gather the above information and review the schedule below to select the appropriate class time.
It is an honor to have you join our community.
Le Meas,
Natasha R. Hart, TCRG 509-863-7080
MSDIrishdanceacademy@gmail.com
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Email
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Your email
Please note, we current do not have active classes. If you would like to share your information as we plan our future location and classes please continue through this registration.
*
Yes, please contact me for future classes.
Student Name(s)
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Your answer
Student(s) Date(s) of Birth
*
Your answer
Name of Person Completing this Registration and Acknowledgement
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Your answer
Address
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Your answer
Phone
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Your answer
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