| Family or dancer's last name: |
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| First dancer's
first name: |
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| Age: |
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| Second dancer's
first name: |
|
| Age: |
|
| Third dancer's
first name: |
|
| Age: |
|
| Fourth dancer's
name: |
|
| Age: |
|
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Parent's name (if a dancer is under 18 years of age): |
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Phone:
(please list a phone number that you would like to be contacted with.)
|
|
|
E-mail address:
(please list an email address that you check regularly and you would
like to be contacted with.)
|
|
|
Have you done Irish Fair before?
|
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