Secure a spot in the Preschool and Beginner class for Fall 2010, please fill out the following form, and click submit.

In order to secure a postion for the Fall 2010 class, send a $50 non-refundable first time registration fee made out to the O'Rourke Irish Dancers, 302 Wilde Greene Ter., Ossining, NY 10562

Parents name:

Childs Name:

Childs DOB:

Class(Preschool or Beginner):

Child #2 Name:

Child #2 DOB:

Class(Preschool or Beginenr):

Home Phone #:

Cell Phone:

Email:

Address:

City:

State:

Zip: