O'Kennedy-Holland Irish Dance Academy
Our Introductory Session-  registration 
Classes are Wednesdays at 5:00-5:45.

Tuition for Level 1-2 -Introductory Solo Irish Step Dance breaks down to $50/ month for 1 class per week 3-5 classes per month. Dancers should be at least 4 yrs old to begin AND  Adults are also welcome!

We hope you can join us!!
  
Email for more information IrishDanceAcademyOH@gmail.com 

More details in the form below.
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Dancer's Last Name *
Dancer's First Name *
Please fill out a separate form for each dancer.
Dancer's Birthday *
ex: MM/DD/YYYY
Street Address *
Apt. Building #
City *
State *
Zip *
Main/ Home Phone # *
ex: xxx-xxx-xxxx
First Guardian's First and Last Name *
First Guardian's Cell # *
ex: xxx-xxx-xxxx
Main Email Address *
This will be used to communicate This will be used to communicate ALL Irish Dance Information. If you do not have  an email please indicate N/A
2nd Guardian's First and Last Name
Secondary Email Address
Secondary Cell
Do you want all Dance communication sent to this email as well?
Otherwise, we may just use it as a back up if the first email doesn't go through.
Clear selection
Emergency Contact Name *
Please add someone other than the Guardians to be used for emergency contact if something happens at class or a show.
Emergency Contact Phone # *
ex: xxx-xxx-xxxx
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