WALKER SCHOOL OF IRISH DANCE

2014

PLEASE RETURN FORM VIA EMAIL/MAIL BY THE 17th JANUARY

ADRIAN WALKER –

ONE FORM PER STUDENT

Student’s Name:______

Date of Birth:______Age as of 1st Jan:______

Mother’s Name & Phone No:______

Father’s Name & Phone No:______

Student Mobile No (if applicable):______

Name & Phone No of carer responsible during class time:______

Address:______

Student Email Address (if applicable):______

Parent Email Address: ______

(All notes about classes & competitions will be sent via email, so it will need to be an email you check regularly)

Medical condition/allergies:______

**I have read & understood the Walker School of Irish Dance “Terms & Conditions & information booklet and agree to them as members of the dance school**

Signed______

Dated______

(Parent or Guardian if Under 18yrs)

DANCER’S NAME:

DANCER’S AGE: (as of 1st January 2014):

DANCER’S CLASS/LEVEL:

Please TICK the classes you would like to enrol in

TUESDAYAdrian Walker TCRG, Ann Truman TMRF & Peggy Walker

Sherwood Uniting Church, Cnr Thallon & Sherwood Rd Sherwood

3:45pm – 4:30pm“Tiny Toes” & “Irish Intro”

4:15pm - 5:15pmBeginner/Primary Solos

5:15pm – 6:15pmUnder 10 and Under 12 Teams

6:15pm – 7:15pm Under 13 Open & Intermediate Solos

7:00pm – 8:30pm Under 15, Under 18, Open Age Teams

8:30pm – 9:30pmOver 13 OpenSolos

WEDNESDAY Kick Dance – contact

THURSDAYAdrian Walker TCRG, Ann Truman TMRF & Peggy Walker

Chelmer Commuinity Centre, Cnr. Queenscroft & Halsbury Streets, Chelmer

3:45pm – 4:30pm“Tiny Toes” & “Irish Intro” 

4:15pm – 5:15pmBeginners/Primary Solos

5:15pm – 6:15pmFigure dance class – Under 15yrs

6:15pm – 8:30pmAll Intermediate/Open Solos

8:30pm – 9:00pmStretch & Strengthen

SATURDAY Adrian Walker TCRG, Ann Truman TRMF & Peggy Walker

Sherwood Uniting Church, Cnr Thallon & Sherwood Rd Sherwood

8:30am – 9:30am“Just Jig” – Adult Irish Dance Fitness Class 

9:30am – 10:15am“Tiny Toes” & “Intro to Irish”

9:30am – 10:30am Beginners/Primary Solos

10:30am – 12:00Intermediate/Open Solos

PM:Bulimba – Kick Dance –

DANCERS WISHING TO COMPETE IN COMPETITIONS PLEASE RETURN THE INDEMNITY FORM BELOW BY 1st FEB 2014

NAME:______

DATE OF BIRTH:______

AGE: (as of the 1st Jan 2014)______

RECEIPT NO: ($40 to Walker Fundraising)______

COMPETITON NUMBER (if known)______

A.I.D.A. QLD. INC.

INDEMNITY AND WAIVER

for ______(“Participant”)

On behalf of the Participant/As the Participant (delete whichever inapplicable) I agree to indemnify the Australian Irish Dancing Association (“Association”), its employees, volunteers and agents against any claim, damage, liability, loss, delay or expense which may be suffered or incurred by the Participant arising from or in relation any Association event, whether directly or indirectly, including any negligent act or omission of the Association, its employees, volunteers or agents.

I also agree to indemnify the Association, its employees, volunteers and agents against any claim, damage, liability, loss, delay or expense made by any person against the Association, its employees, volunteers or agents as a result of the Participant’s act, error or negligence arising from or in relation to any Association event.

Signature
Full name
Relationship to Participant (if not Participant)
Date