Free Sample Classes at MID

McCartney Irish Dance

7868 Old M-78

East Lansing, MI 48823

mccartneydance@gmail.com

mccartneydance.com

(517)525-6970
Irish Dance Free Sample Class

Join us in some fun sample classes at MID! These classes are designed to give participants an idea of what our beginner Irish dance classes are like. Wear exercise clothing and bring a water bottle. Fill out the form carefully for participation. One form per individual.
Which class will the participant be attending?
Participant Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Mobile Number
Phone Number
I understand that there is the potential for accidents, personal injury, death, and/or property damage to occur during physical activity. To the fullest extent of the law I knowingly and willingly assume full responsibility for any and all risks associated with this dancer’s participation in McCartney Irish Dance, LLC activities and fully release McCartney Irish Dance, LLC and it’s officers, agents, employees, and volunteers from any and all liability or claims arising out of this dancer’s participation in McCartney Irish Dance, LLC activities.

I authorize McCartney Irish Dance, LLC to seek medical treatment for this dancer in the event of an emergency, including transportation to the nearest hospital. I understand that I am solely responsible for any medical expenses including ambulance transportation, which this dancer may incur from any injuries.
Parent/Guardian Signature (participant signature if age 18 or older)

Clear
Date

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Date
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Irish Dance Free Sample Class