Welcome  Dancers!

                                   Horgan Academy of Irish Dance Connecticut

Subtitle

Welcome to the Horgan Academy of Irish Dance!    To reserve your place for classes, complete the form below & mail or e-mail today.

NEW STUDENT APPLICATION FORM

Please complete this form (please print clearly), e-mail it to [email protected] or print it out and mail it to:

Horgan Academy
198 Meadow St. 
Naugatuck, CT 06770

Phone (203)758-1885

 

Child's Name

 


Address

 

Phone

    
                                                                                                       


Email

 


Age

 

Dance experience, if any?

 

 

 

Parent's name 

Parent's signature 

Date 

                            Thank you for your interest in the Horgan Academy!

 

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