Ardú Academy - Registration Form

Ardú Academy - Registration Form

September 2026 - August 2027
SECTION 1 - PUPIL INFORMATION
Pupil's First Name:
Pupil's Surname:
Pupil's Address

Address Line 1

Address Line 2

TownCounty

Eircode
Pupil's Year of Birth:
Parent / Guardian Email
Parent / Guardian Mobile

08x7 digits required
Alternative Mobile (in case of Emergencies)

08x7 digits required
What Class/Area are you interested in joining or currently attend?

SECTION 2 - DATA PROTECTION
I consent to the above Registration and agree that I and my dancer will abide by the class rules of Ardú Academy of Irish Dance.
I understand the personal data on this form will be used by Ardú Academy of Irish Dance for the contractual purpose of registering (or re-registering) and maintaining the Applicant’s Membership.
I understand that the Personal Data will be retained by Ardú Academy of Irish Dance for such period as the Applicant’s Membership exists.
I understand that I can resign the Applicant’s Membership by writing to Ardú Academy of Irish Dance and their Personal Data will then be erased.
I understand that the Applicant’s Personal Data will also be used for administrative purposes to maintain their Membership including administration, registrations, communication and feis registration.
I understand that if I do not provide the Applicant’s Personal Data their Membership cannot be registered with Ardú Academy of Irish Dance.
I have read the important Data Protection information and have given my consent for my information to be used to provide me with updates regarding Ardú Academy of Irish Dance activities such as class times, feis information, school events and An Chomhdhail information.
I have read the important Data Protection information and I am aware that my child’s photograph or video image may be taken whilst attending or participating in classes or activities connected with Ardú Academy of Irish Dance and I consent to it being used by Ardú Academy of Irish Dance for items such as promotional material or on the schools website or social media channels.

SECTION 3 - FURTHER INFORMATION
Previous Dance History

Please complete if you are joining as a new pupil and have taken Irish Dance Classes with another Teacher / Organisation
Name of Previous Teacher
Organisation
Reason for Leaving
Medical History

Answers provided will be dealt with in the strictest of confidence
Have you any previous medical history / allergies that we should be aware of?
Details of any treatment plan, if applicable
Name / Contact Number of Doctor (in the case of emergencies)
Where did you hear about our Academy?

Other

SECTION 4 - REGISTRATION / INSURANCE FEES
Registration Fees:

Payment Amount

EURDescription

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Total Charge:
PLEASE ALLOW TIME FOR PAYMENT TO PROCESS AFTER CLICKING SUBMIT (DON'T CLICK TWICE!)
Should be Empty:

Ardú Academy - Registration Form

SECTION 1 - PUPIL INFORMATION

SECTION 2 - DATA PROTECTION

SECTION 3 - FURTHER INFORMATION

Previous Dance History

Medical History

SECTION 4 - REGISTRATION / INSURANCE FEES

Payment Amount

PLEASE ALLOW TIME FOR PAYMENT TO PROCESS AFTER CLICKING SUBMIT (DON'T CLICK TWICE!)