The Leneghan Academy of Irish Dance


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http://leneghanacademy.proboards.com/index.cgi?board=welcome&action=display&thread=23

NORTH COAST FEIS 2/4/2012 www.northcoastfeis.com
THE LENEGHAN ACADEMY OF IRISH DANCE DIRECTOR:
CATHERINE A. LENEGHAN ,TCRG,ADCRG

EUCLID        MIDDLEBURG HEIGHTS       WESTLAKE
cl.academy@att.net                www.leneghanacademy.com ____________________________________________________________________
REGISTRATION FORM (ONE PER FAMILY)

Family NAME:________________ Contact Person(s)______________
ADDRESS:        _____                               CITY                    ___________________________ZIP_______
E-MAIL ADDRESS:                                            PHONE#_______________________
(most information is relayed via e-mail – please notify if your address changes)
Student information:
NAME:  ____________DOB__________       AGE on JAN. 1 2012:______
NAME:  _____________DOB__________     AGE on JAN. 1 2012:______
NAME:  _____________DOB__________     AGE on JAN. 1 2012:______

CLASS LOCATION: _______EUCLID ________WESTLAKE ________MHeights _____
CLASS DAY:___________ CLASS TIME:_______ DATE of FIRST CLASS:___________
Any Irish Dance experience OUTSIDE Leneghan Academy? 
TUITION OPTIONS : Please check the option which works best for you. Amounts are per child.
 ___ FAMILY DISCOUNT (3rd immediate family member = 50% discount, additional = FREE)
___REGISTRATION FEE: $15.00 New Families only. MUST pay before first class
___Pre-pay  in one payment___pre-pay in 2 dated checks   ___ 6 equal pmts 

SEE WWW.LENEGHANACADEMY.COM http://leneghanacademy.proboards.com/index.cgi?board=welcome&action=display&thread=23FOR DETAILED TUITION POLICIES. Registering w/the Academy implies you understand/agree  to comply w/tuition policies posted on website and in studios.
 ____FOLA Membership: $10 per family  (pay to Friends of Leneghan Academy – booster club)
PLEASE RETURN FORMS & FEES TO: C.Leneghan 27327 Detroit Rd Westlake OH 44145
WE ACCEPT PAYPAL!!!  go to www.paypal.com/us/ and use cl.academy@att.net
Payments under $101 - Please add $2.00 to all Paypal payments to cover service charge.
Payments over  $100 - Please add $3.00 to all Paypal payments to cover service charge.
You do not have to have a Paypal account to use this service.


  


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