McMenamin Irish Dance Academy | Class Registration

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Dancer Registration In order to maintain an effective student/teacher ratio our class size is limited. Please contact us with any questions.

Parent or Legal Guardian
Address
City
State	Zip
Daytime Phone
Evening Phone
Email
Student name
Student D.O.B.
Comments/Questions
Select desired location	Shorewood Location
	Northshore Location
In order to complete registration, you must by law be 18 years of age or older	By checking this box, I agree that I am 18 or older

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