Register

Please read over the following details before completing the form:

All dancers must be a member of the Irish Club of Regina and pay an annual membership fee.  Dance fees and annual ICR membership fees are payable by cash or cheque. Dance fees are due at the first class of each month.  Communication with dancers will be done by email. Please use an email address that you regularly access.

Dance Fees are as follows:

Dance fees: $45.00 per month (September – June)
ICR Membership fee: $15 single or $20 family

Please ensure all fields are complete so that we can get in touch with you and have all the needed information.  All new dancers to the ICR Dancer Group are asked to attend the first beginner class for permanent placement to be decided on an individual basis.

Start date for classes -September 13th

Beginners 6-730
Novice 730-900 Tuesdays

Intermediate Wednesdays 6-730
Seniors 730-900.

The Location
Salseros Dance Studio
2nd floor, side entrance, 1501- 11th Ave

Your Contact Information

Your Name*

Your Address*

City*

Birth date*

Your Email

Phone Numbers

Home Phone*

Work Phone

Cell Phone

Any health concerns we should be sensitive to?

Emergency Contact Information

Name*

Phone Number*

How did you find out about us?

Another information/comments?