2022 An Clar Summer Camps

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome to An Clár School of Irish Dance Summer Camps!

Dancer registration will be completed online, no paper forms will be available or accepted.

If only registering 1 dancer, please skip entering dancer #2-4 information and scroll down to bottom submit form. If you have more than 4 children registering, please complete a second form.

Tiny Shamrocks (ages 3-4) $35/per child
Albany, NY: July 14th, 21st, 28th
Byram, NJ: July 12th, 19th, 26th
**Class times TBD

Jumping Jiggers (ages 5 & up) $100/per child
Albany, NY: August 2nd, 3rd, 4th
Byram: NJ: August 9th, 10th, 11th
**9:30am-12:00pm

Note: Dates & times are subject to change if needed.

Once online registration is completed, email will be sent with payment & waiver release documents.

Any & all questions should be directed via EMAIL to anclarschoolofirishdance@gmail.com

Thank you,
Lexa Hickey, ADCRG

Email *

Parent/Legal Guardian #1 Name *

Parent/Legal Guardian #1 Contact # *

Parent/Legal Guardian #2 Name *

Parent/Legal Guardian #2 Contact #: *

Main Contact Email (This will be the main email used for all correspondence sent) *

Secondary Email (If you would like emails sent to both parents. If only 1 email account will receive correspondence leave blank)

Emergency Contact (Name, Relationship to dancer & Contact #): *

Mailing Address: *

How did you hear about us? *

Facebook

Instagram

Twitter

Google search

Newspaper

Drove by studio

Friend

Other:

Required

Home Studio *

Albany, NY

Byram, NJ

I agree to all school guidelines, policies & pricing information. *

Yes, I accept & agree to all school guidelines, policies, & pricing information

No, I do not accept

I will read the COVID-19 Waiver Release Form and agree to submit a signed copy prior to my dancer's first in-studio class. *

Yes

I agree not to hold Lexa Hickey; An Clár School of Irish Dance, LLC; Heller Group, LLC, or the Celtic Hall responsible for any injury, accident, or loss that may occur while my child is in class, taking an online class, at a performance, or competition, etc.. I agree that my child and family will abide by all Class Policies/Protocols. I understand that if payment is not made in a timely fashion my family will incur late fees. I also agree that my child is in good health to participate in dance and, if there are any medical issues, the teacher will be made aware of them. *

Yes

Internet Permission (Read Choices Carefully & Choose 1) *

I give An Clar School of Irish Dance, LLC permission to post photos & name on the school website www.anclarschool.com, and An Clar social media sites

I give An Clar School of Irish Dance, LLC permission to post photos of my child’s on the school website www.anclarschool.com and An Clar social Media site. But DO NOT give permission to post my child(s) name.

I DO NOT give An Clar School of Irish Dance, LLC permission to post my child’s photo and name on ANY Internet related site. I understand that my dancer will be not included in group pictures or announcements.

Dancer # 1 Name *

Dancer # 1 DOB *

YYYY

Dancer # 1 Summer Camp Option *

Tiny Shamrocks

Jumping Jiggers

Dancer # 1 Allergies/Medical Conditions (if none, type N/A) *

Dancer # 2 Name

Dancer # 2 DOB

YYYY

Dancer # 2 Summer Camp Option

Tiny Shamrocks

Jumping Jiggers

Clear selection

Dancer # 2 Allergies/Medical Conditions (if none, type N/A)

Dancer # 3 Name

Dancer # 3 DOB

YYYY

Dancer # 3 Summer Camp Option

Tiny Shamrocks

Jumping Jiggers

Clear selection

Dancer # 3 Allergies/Medical Conditions (if none, type N/A)

Dancer # 4 Name

Dancer # 4 DOB

YYYY

Dancer # 4 Summer Camp Option

Tiny Shamrocks

Jumping Jiggers

Dancer # 4 Allergies/Medical Conditions (if none, type N/A)

Registration Date *

YYYY

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms