NAVAN - MONDAY CHEERLEADING REGISTRATION
Claremont Stadium, Commons Road, Navan
085 120 1020 or performingartsire@gmail.com
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Email *
PARENT/GUARDIAN NAME *
PARENT GUARDIAN PHONE NUMBER (mobile) *
HOME ADDRESS *
NAME OF CHILD 1 *
DATE OF BIRTH *
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Register CHILD 1 in class *
Required
NAME OF CHILD 2
DATE OF BIRTH
MM
/
DD
/
YYYY
Register CHILD 2 in class 
***ENTER PROMO CODE CHILD2 AT CHECKOUT FOR 10% 2 SIBLING DISCOUNT***
NAME OF CHILD 3
DATE OF BIRTH
MM
/
DD
/
YYYY
Register CHILD 3 in class 
***ENTER PROMO CODE CHILD3 AT CHECKOUT FOR 15% 3 SIBLING DISCOUNT***
EMERGENCY CONTACT NAME *
EMERGENCY CONTACT PHONE NUMBER *
Does your child have any medical conditions we need to be aware of (Asthma, Diabetes, Allergies, Scoliosis)? Please let us know below so we can have a plan in place. We may call you to clarify how we can support your child best.
Does your child have any developmental or intellectual disabilities we need to be aware of (Autism, ADHD, Down Syndrome)? We are a fully inclusive school and have a strong ethos of supporting EVERYONE in a way that helps them to access our programmes and realise their full potential. We understand that supports are needed for some young people to facilitate this and we are committed to ensuring we have appropriate supports in place, where possible. Please let us know below so we can have a plan in place. All information is saved securely and is confidential.
I HAVE READ AND ACCEPT PERFORMING ARTS IRELAND CHEER CAMP TERMS AND CONDITIONS *
Required
I consent to Performing Arts Ireland First Aid Responders (PHECC) treat my child with plasters/cleaning wound/ice or cool pack/hand sanitiser/administering first aid assistance as necessary. *
Required
I UNDERSTAND THAT IN LINE WITH PERFORMING ARTS IRELAND GDPR POLICY MY INFORMATION WILL NOT BE SHARED WITH ANY THIRD PARTIES AND IS BEING COLLECTED FOR SUMMER CAMP/CLASS REGISTRATION PURPOSES. *
Required
I AGREE THAT PERFORMING ARTS IRELAND CAN SEND ME EMAILS/TEXTS ABOUT UPCOMING CLASSES, CAMPS AND WORKSHOPS VIA TEXT AND EMAIL IN THE FUTURE AND CAN UNSUBSCRIBE AT ANY TIME BY EMAILING performingartsire@gmail.com *
Required
I have read and understand the PHOTOGRAPHY WAIVER in the Terms & Conditions document HERE and agree that my child's image can be recorded, photographed or videoed and used for promotional purposes by way of marketing materials (print/website/media/PAI & related social media accounts)by Performing Arts Ireland. We will not use children's names or identifying information or sell images/information on to third party website).   *
Required
If you have chosen to pay now, you will be directed to SQUAREUP secure online portal for payment.

***ENTER PROMO CODE CHILD2 AT CHECKOUT FOR 10% 2 SIBLING DISCOUNT***
***ENTER PROMO CODE CHILD3 AT CHECKOUT FOR 15% 3 SIBLING DISCOUNT***

We use SQUAREUP payment gateway, accepting VISA, MASTERCARD, MAESTRO, AMERICAN EXPRESS . We do not have access to, or save your Credit Card information. SquareUp processes your card information securely. 

If you have chosen to pay in person the payment portal will open and show as no payment required. 

Once you receive an email with your responses to this form, your child is registered and payment should be made as you indicated.

I understand that registration will not be complete until full payment has been paid to Performing Arts Ireland.
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A copy of your responses will be emailed to the address you provided.
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