P r o u d M e m b e r s o f

Student Registration

NRSID Student Registration Form 2025-2026

Please submit one form per student. Thank you!

Dancer's First Name

Dancer's Last Name

Dancer's Date of Birth

Month

Day

Year

Competition Age (Dancer's Age as of 9/1/2025)

Dancer's Address (include street, city, and zip code)

Dancer's Medical Information (if applicable, see below)

Please list any medical, physical, behavioral and/or other conditions relevant to your student's participation in NRSID classes, performance, & activities. Please include any food allergies.

Class & Team Selections

Select your Classes, Performing Company Teams, Private Lesson Enrollment or Interest, and the Tuition Plan that is best for you! If you are unsure of enrollment eligibility, please contact your teacher.

Private Lessons

Tuition Plan Selection

Parent/Guardian Information

Please provide contact information for a parent or guardian as a Primary Contact, and an Emergency Contact. Including a second parent or guardian is optional.

Parent or Guardian Full Name (Primary Contact)

Primary Contact's Relationship to Dancer

If selected other, above, please list the Primary Contact's Relationship to Dancer here.

Primary Contact Email Address

Primary Contact's Phone Number

Parent or Guardian Full Name (Secondary Contact)

Secondary Contact's Relationship to Dancer

If selected other, above, please list the Secondary Contact's Relationship to Dancer here.

Secondary Contact's Email Address

Secondary Contact's Phone Number

Secondary Contact Communication Preferences

Emergency Contact's Full Name (Not the Primary or Secondary Contacts)

Emergency Contact's Relationship to Dancer

Emergency Contact's Phone Number

School Policies & Submission

Individual School Policies are available at www.IrishDanceYork.com and per request.

By submitting this registration form, you are agreeing to the following:

I grant permission for the above-named student to participate in dance instruction and activities provided through Ni Riain School of Irish Dance. I further agree to indemnify and hold harmless Ni Riain School of Irish Dance and each of their officers, independent contractors, leaders, teachers and volunteers from any and all liability and expenses with respect to claims for all damages or losses that may be asserted by their participation in instruction and activities developed coordinated and/or conducted by Ni Riain School of Irish Dance both on and off the premises.

I acknowledge that medically trained staff is not available during classes, performances, and activities, and that I am responsible for monitoring my child's health issues and providing care and attention as needed. I also understand that it is my responsibility to make staff and volunteers aware of any allergies, medical issues, or physical restrictions, etc. on a continuing basis, while understanding that I am ultimately responsible for my child's health.

I understand that photographs and videos of my child may be used in Ni Riain School of Irish Dance presentations and publications, in newspapers and media, and/or published on the Ni Riain website and social media, unless I expressly request, in writing, that photographs of my child not be used for such purposes.

I verify that all information on this form is true and correct, agree to update the information as needed throughout the school year, and acknowledge that I will become familiar with School Policies for 2025-26 season.