Horgan Academy of Irish Dance, LLC
Training Tomorrow's Riverdancers Today!
New Student Application Form
NEW STUDENT APPLICATION FORM
Please complete this form (please print clearly), e-mail it to HorganAcademy@yahoo.com or print it out and mail it to:
Horgan Academy
P.O. Box 1415
Naugatuck, CT 06770.
| Child's Name |
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| Address | |
| Phone | (area code first) |
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| Choice of Studio | [ ] Chesire [ ] Litchfield [ ] Litchfield [ ] Naugatuck [ ] New Milford [ ] Woodbury [ ] Waterbury [ ] Other _____________________________________________________ |
| Previous dance experience, if any. Specify please. |
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| Health problems, if any: |
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| Parent name | |
| Parent signature | |
| Date | |
Thank you for your interest in the Horgan Academy!