Laois Dance Academy Registration 2023/24
www.laoisdanceacademy.com

Classes location:
Dance Laois
Ensemble Dance Studio
Hynds Square
Portlaoise, Co. Laois

Ph: 089 4672966
Sign in to Google to save your progress. Learn more
Email *
PLEASE NOTE:
* To ensure we have a space for your child, please get in touch with us before registering.
* This registration is only valid after the registration fee has been paid (€30 per child). 
* Term (block of 6 weeks) fee must be paid before the start of every term. 
* More information at the bottom of this form.
Student's Full name: *
Contact number: *
Date of birth: *
Please select from below: *
Required
Parents(s) Name(s): *
Your Address: *
Any  Known allergies/illness that may affect your child while dancing: *
Any further comments regarding your child’s dancing: *
Laois Dance Academy may take photos and  videos of class activities to use in local media for promotion of the School, If you object  please tick 'no' *
Required
I understand this registration is only valid after the fee payment  and is not refundable. *
Signature (Please type initials and full name) *
Payment Details:

https://revolut.me/1laoisdance

Phone number: 089 467 2966

 *Revolut QR code below *

OR

BANK TRANSFER:

Laois Youth Dance Ensemble
AIB
Account Number: 49300029
Sort Code: 933279
IBAN: IE46AIBK93327949300029
BIC: AIBKIE2D

Annual Registration and insurance fee:
€30 per student
*Your registration will only be valid when this fee is fully paid.

Block of Term fees:
*each term have a block of 5-6 weeks 

Classes under 40min long: €50 per term 
45min classes or longer: €60 per term

*Please note: Annual registration fees (administration/insurance) are not refundable or exchangeable. 
*If there are missing classes, the student can attend extra lessons (booking required) within the school,
 but fees are not refundable for missed sessions.
*We offer €10 discount in the overall fee for every second class taken. The same discount applies to siblings.

                   ***Laois Dance Academy classes will resume Saturday, September 9th 2023***

*All students (returning students, siblings in separate forms) must have their online registration form submitted for 2023/24. You just do this once a year.


Revolut QR code
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy