Last Name
McGinley School of Irish Dance
Registration Form 2007-08
Parent's Names
Address
City/Town
Zip Code
Home Phone
Work Phone (Mom)
Work Phone (Dad)
Cell Phone (Mom)
Cell Phone (Dad)
Dancer's Name Dancer's Name
Age (As of 9/1/07) Age (As of 9/1/07)
Birthday Birthday
Dancer's Name Dancer's Name
Age (As of 9/1/07) Age (As of 9/1/07)
Birthday Birthday
Check Here if there are changes from last year (or if you are new to the school). _________
I verify that the above information is correct. By signing, I also acknowledge that I have read and understand the payment terms and conditions.
Signature: __________________________________
Date: ______________
Copyright © 1999
[McGinley School of Irish Dance]. All rights reserved.
Revised: September 19, 2007