New Dancer Enrolment – Clárú 2021

Lynagh 2021
Re-Enrolment Form

New Dancer's Details
Parents / Guardian Details
2nd Child Details (if applicable)
3rd Child Details (if applicable)
Choice of Classes for 2021
Has your child danced in the past twelve months in another Irish Dance Class ?
*Please tick the classes that you wish to attend. You may tick a choice of 1, 2 or 3 Classes per week.
Your enrolment and your choice of class/es will be confirmed after this Registration Form has been received.
Medical Consent
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...
How did you hear about us?
Finalise your New Enrolment & Fee
To complete your enrolment, payment of $25 per family Enrolment Fee is required.

Our Bank Details are as follows -

Account Name: B Mackness
Bank: St George Bank / BSB No: 114 879 / Acc #: 484600271

Thank you for choosing to enrol with Lynagh Irish Dancing.
Submit your 2021 Enrolment

Parent / Guardian / 18yrs+ Dancer Signature >>