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Dancer Re-Enrolment – Clárú 2023

Please complete our secure enrolment form below Once received, one of our teachers will be in touch to confirm your details and your class preferences. If you prefer to enrol offline, please email us and we will arrange.

Thank you for Re-Enrolling with Lynagh Irish Dancing. Your teacher will be in touch shortly to confirm your class/es and enrolment..

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Lynagh 2021
Re-Enrolment Form

Dancer's Details

*Dancer's First Name

*Dancer's Last Name

*Dancer Date of Birth

*Dancer Home Address - Line 1

*Dancer Home Address - Line 2

Parents / Guardian Details

*Mother's / Guardian Name

*Mother / Guardian Phone Number

*Mother / Guardian Email

*Father's Name

*Father Phone Number

*Father Email

Dancer Contact Details (ONLY required if Dancer is over 18 years of age)

Dancer's Mobile (if dancer is over 18yrs)

Dancer's Email (if dancer is over 18yrs)

2nd Child Details (if applicable)

2nd Child Name

2nd Child Date of Birth

3rd Child Details (if applicable)

3rd Child Name

3rd Child Date of Birth

Choice of Classes for 2023

Generally we do not alter Dancer's Classes unless we receive a specific request to do so. However we do alter Dancer's Classes from time to time based on Dancer's age, level and progress.

Options are available for Dancers to attend 2 or more Classes per week. Parents are encouraged to consider this for their Dancer/s.

*Please indicate your choice of classes for 2023

No change to Classes (move to medical consent form below)

Yes Change to classes

2 Classes per week

3 Classes per week

Indicate which day for your change of class - 1st preference

Tuesday

Thursday

Saturday

Indicate which day for your change of class - 2nd preference

Tuesday

Thursday

Saturday

Our Classes for Beginner & Primary Dancers are -
Tuesday Afternoon, Belmont Scouts - Beginners
Thursday Afternoon, Belmont Scouts - Beginners & Primary
Saturday morning, Belmont Scouts, - Beginners & Primary

Open/Advanced Classes - will not change for 2023-
Tuesday & Thursday evenings.

Confirmation of your change of Classes for 2023 as advised by you above, will be confirmed once all Classes have been finalised for the year. Any further Class changes required will be advise to you as early as possible and before Classes resume for 2023.

Medical Consent

*Medical Consent Family Name

In the case of a Medical Emergency occurring with you/your child at our dance classes and the venue at the time of use, every effort would be made to contact Parent/Next of Kin from the information that you have provided us. If this fails what would be your preferred option. Please choose ONE option below...

Medical Consent OPTION 1 - Contact my Doctor

*OR OPTION 2 - Contact with the Ambulance Service for transportation to the nearest Hospital or nearest Emergency Department.

Yes

No

*OR OPTION 3 - Contact my nearest relative or friend

Yes (complete details below)

No

Relative's / Friend Name

Relative's Phone Number

Relative's Address

Is there any Medical condition which your child / children may have, of which we should be aware in relation to them attending our Dance Classes. Please provide details –

Finalise Re-Enrolment & Fee

To complete your re-enrolment, payment of $30 per family Enrolment Fee is required by 18/01/2023.

*I confirm...

I have paid the enrolment fee

*Payment Evidence Upload

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Thank you for choosing to re-enrol with Lynagh Irish Dancing.

Submit your 2023 Re-Enrolment

Parent / Guardian / 18yrs+ Dancer Signature >>

*Signature

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Lynagh Irish Dancing

Lynagh 2021Re-Enrolment Form

Thank you for choosing to re-enrol with Lynagh Irish Dancing.

Parent / Guardian / 18yrs+ Dancer Signature >>

Lynagh 2021
Re-Enrolment Form