Daniels Bell Academy of Irish dance
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Dancer Registration Form
Your email:
Dancer Name
Dancer Date of Birth
Parent/Guardian Name
Address
Phone number
Alternative emergency contact name and phone number. Please include relationship to dancer.
Information about matters affecting child’s welfare relevant to Irish dancing eg. medical conditions:
Previous dance school attended (if any). Please provide details
Primary Class location
Johnstownbridge GAA club
Scoil Mhuire Leixlip
Scoil San Carlos Leixlip
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