4-week Intro to Irish Dance Sessions!

Child’s First and Last name (If you have multiple children, please submit one form for each child) *

First Name

Last Name

Select your Intro Class

Make sure to select an age appropriate class for your child

Jump'n Jig (ages 4 and 5). 45 Minute Class. Thursday(s) 4:00 PM to 4:45 PM. Cost is $75.

Jump'n Jig (ages 4 and 5). 45 Minute Class. Saturday(s) 10:15 AM to 11:00 AM. Cost is $75.

Beginner (ages 6 to 17). 1 Hour Class. Monday(s) 5:00 PM to 6:00 PM. Cost is $90.

Beginner (ages 6 to 17). 1 Hour Class. Saturday(s) 11:30 AM to 12:30 PM. Cost is $90.

Release & Waiver of Liability *

As the legal parent or guardian, I hereby give approval for each student Dancer's enrollment and participation in The Shannon Irish Dance Academy, LLC, The Shannon Irish Dance Academy, LLC d/b/a The Shannon Irish Dance Academy, and/or The Shannon Irish Dance Academy, LLC d/b/a The Shannon Irish Dance Company (collectively, “SIDA”) and all of the associated activities involved therein. Each student Dancer's participation in SIDA and all of its activities is by choice, and is completely voluntary. Accordingly, in my capacity as parent/legal guardian for each student Dancer, I agree on behalf of myself, the above-named student Dancer(s), my spouse (if any), my heirs, assigns, related individuals and related entities, to hereby release, waive, absolve, discharge and agree to hold harmless SIDA, its related entities, trustees, directors, officers, employees, agents and insurers (collectively, The Shannon Irish Dance Academy Released Parties) from and against any and all rights, claims, demands, causes of action, obligations, suits, liens, damages or liabilities of any kind and character whatsoever, whether known or unknown, suspected or claimed, which each student Dancer shall or may have in the future against the SIDA Released Parties arising out of, based on, related to or connected with each student Dancer's enrollment and participation in the SIDA program and any of its activities and/or the activities of its related entities. I, on behalf of myself and the individuals and entities referred to above, also agree to indemnify and hold the SIDA Released Parties harmless from the payment of any and all judgments, settlements, costs, disbursements and attorney fees that are associated with the SIDA Released Parties having to defend or investigate any claim, action or proceeding of any type whatsoever arising out of the student Dancer's enrollment or participation in the SIDA program and activities. I represent and warrant that I have the full power, capacity and authority to execute this document as the parent or legal guardian of each student Dancer. I further represent and warrant that I understand the terms and provisions of this document and its nature and effect. This document is made, executed and entered into and shall be governed by the laws of the state of my residence. I expressly consent to venue and jurisdiction of the courts of my state with respect to any dispute arising out of each student Dancer's enrollment and participation in the above-referenced SIDA program and associated activities.

I've read the above and agree.

Name as it appears on card

First Name

Last Name

I agree to all of the above *

Enter your Full Name

First Name

Last Name