Brennan-Lucey Irish Dance - Winter/Spring 2027

Learn the basics of traditional Irish Step Dancing and perform for your peers at the SCSS St. Patrick's Day Parade!

Students will not need to purchase any special shoes, they’re welcome to dance in sneakers or soft jazz/ballet/irish dance shoes only if they already own them.
Dancers will need to be in comfortable clothing they can move/sweat in and remember to bring a water bottle/snack!

$110 for 6 weeks
February 3 - March 10, followed by the performance at the SCSS St. Patrick's Day Parade
Open to ALL students (we need 6 registered to offer the program)
Registration closes Feb. 1 or at a MAX of 20 students

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Students Name Students Name First Last
Grade
Parent/Guardian Parent/Guardian First Last
Registration Confirmation

Registration Confirmation Yes, I would like to register my child for the Brennan Lucey Irish Dance Academy program (6 weeks starting February 3) for $110, followed by a performance at the St. Patrick’s Day Parade
Email
Best # to reach you at during program hours: Best # to reach you at during program hours: - ### - ### ####
Name of pick-up person, if different from parent/guardian listed above Name of pick-up person, if different from parent/guardian listed above First Last
Phone of pick-up person, if different from parent/guardian listed above Phone of pick-up person, if different from parent/guardian listed above - ### - ### ####
In consideration of my child named above, being allowed to participate in any way in the Brennan-Lucey Irish
Dance Academy LLC related events and activities, the undersigned acknowledges, appreciates, and agrees that while
particular rules, equipment, and personal discipline may reduce the risk of injury, the risk of injury does exist; and

1) By signing this form I agree that in the event of injury while participating in classes with the Brennan-Lucey Irish Dance
Academy LLC, Meghan Lucey-Brelsford, the school, and any of its teachers are not responsible in any way.

2) By signing this form I am assuming any and all responsibility including financial obligations. This includes the
understanding that payment is non-refundable once the program is confirmed to run.

3) By signing this form I allow my child to be in photographs/short clips of dancing shared on Brennan-Lucey social media in accordance with their social media policy and standards. To inquire of their social media policy/standards please email info@brennanlucey.com for details.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Name of Signee Name of Signee First Last

Brennan-Lucey Irish Dance - Winter/Spring 2027

Brennan-Lucey Irish Dance - Winter/Spring 2027

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