Skip to content
Genevieve Ryan Dance Academy 2020 – 2021 Registration
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 3
Student's Name
*
Student's Date of Birth
*
Parent's Name
*
Parent's Phone Number
*
Parent's Email Address
*
Address
*
Address Line 1
City
State / Province / Region
Next
Preferred Location
*
Ballinderreen
Claregalway
Kinvara
Moycullen
Salthill
(Select as many as needed)
Preferred Class
*
Ballet
Jazz & Musical Theatre
Hip Hop
Contemporary
Other
(Select as many as needed)
Please list any previous dance or movement experience.
Please list relevant medical history or special needs.
Is there anything else we should know?
How did you hear about us?
Previous
Next
I consent to the data entered on this application to be stored on Genevieve Ryan Dance Academy Database.
(copy)
*
I consent to allow Genevieve Ryan Dance Academy to contact me by email, phone, and/or text.
I consent to my child’s photo being published in local newspapers, newsletters, and on the Genevieve Ryan Dance Academy website and social media pages.
Acknowledgement
*
I ACKNOWLEDGE THAT THIS IS A PHYSICAL ACTIVITY AND I SHOULD GET MY DOCTORS PERMISSION IF MY CHILD OR I SUFFER FROM ANY HEALTH PROBLEMS. I AGREE THAT THE INSTRUCTORS ARE NOT RESPONSIBLE FOR ANY INJURIES OBTAINED DURING CLASS HOURS. INSTRUCTORS TAKE NO RESPONSIBILITY FOR LOSS OR DAMAGE TO PERSONAL BELONGINGS. PLEASE INFORM TEACHERS OF ANY ILLNESSES OR INJURIES.
Read above & Agreed Signature:
*
Date
*
Submit
About Us
Classes
Adult Dance
Company Team
Contemporary
Dance Club
Hip Hop
Jazz & Musical Theatre
Spotlight Team
Tiny Tots
Timetables
Moycullen
Salthill
Ballinderreen
Contact
Our policies
Enroll Now
