913.396.3113

6001 Johnson Dr, Mission is 66203

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Register to Irish Dance in Kansas City

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Register to Irish Dance in Kansas City

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Level 1

Level 2

Level 3

Level 4

Level 5

Level 6

Champ

Wee Ones

Adult

Level 1

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Dancer’s Name *

First

Last

Dancer's Date of Birth *

Classes *

Monday 5-6:00pm
Tuesday 5:30-6:30pm
Wednesday 6-7:00pm
Saturday 12-1:00pm

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 2 Name *

First

Last

Email *

Phone *

Additional Phone *

Address *

City *

State *

Zip *

How did you hear about us? *

Level 2

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Dancer’s Name *

First

Last

Dancer's Date of Birth *

Classes *

Monday 5-6:00pm
Wednesday 6-7:00pm
Saturday 12-1:00pm
Team Class Tuesday/Thursday 6:30-7:30pm

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 2 Name *

First

Last

Email *

Phone *

Additional Phone *

Address *

City *

State *

Zip *

How did you hear about us? *

Level 3

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Dancer’s Name *

First

Last

Dancer's Date of Birth *

Classes *

Monday 5-6:00pm
Wednesday 6-7:00pm
Saturday 12-1:00pm
Team Class Tuesday/Thursday 6:30-7:30pm

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 2 Name *

First

Last

Email *

Phone *

Additional Phone *

Address *

City *

State *

Zip *

How did you hear about us? *

Level 4

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Dancer’s Name *

First

Last

Dancer's Date of Birth *

Classes *

Tuesday 5-6:30pm
Thursday 5-6:30pm
Saturday 12-1:00pm
Team Class Tuesday/Thursday 6:30-7:30pm
Hannah Technique Wednesday 7:00-8:00pm
Hannah Technique Saturday 1:00-2:00pm

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 2 Name *

First

Last

Email *

Phone *

Additional Phone *

Address *

City *

State *

Zip *

How did you hear about us? *

Level 5

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Dancer’s Name *

First

Last

Dancer's Date of Birth *

Classes *

Tuesday 5-6:30pm
Thursday 5-6:30pm
Saturday 12-1:00pm
Team Class Tuesday/Thursday 6:30-7:30pm
Hannah Technique Wednesday 7:00-8:00pm
Hannah Technique Saturday 1:00-2:00pm

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 2 Name *

First

Last

Email *

Phone *

Additional Phone *

Address *

City *

State *

Zip *

How did you hear about us? *

Level 6

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Dancer’s Name *

First

Last

Dancer's Date of Birth *

Classes *

Tuesday 5-6:30pm
Thursday 5-6:30pm
Saturday 2-3:00pm
Team Class Tuesday/Thursday 6:30-7:30pm
Hannah Technique Wednesday 7:00-8:00pm
Hannah Technique Saturday 1:00-2:00pm

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 2 Name *

First

Last

Email *

Phone *

Additional Phone *

Address *

City *

State *

Zip *

How did you hear about us? *

Champ

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Dancer’s Name *

First

Last

Dancer's Date of Birth *

Classes *

Tuesday 7:30-9:00pm
Thursday 7:30-9:00pm
Saturday 2-3:00pm
Team Class Tuesday/Thursday 6:30-7:30pm
Hannah Technique Wednesday 7:00-8:00pm
Hannah Technique Saturday 1:00-2:00pm
Monday Champs 6:00-7:30pm

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 2 Name *

First

Last

Email *

Phone *

Additional Phone *

Address *

City *

State *

Zip *

How did you hear about us? *

Wee Ones

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Dancer’s Name *

First

Last

Dancer's Date of Birth *

Classes *

Monday 4:30-5:00pm
Wednesday 5:30-6:00pm

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 2 Name *

First

Last

Email *

Phone *

Additional Phone *

Address *

City *

State *

Zip *

How did you hear about us? *

Adult

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Dancer’s Name *

First

Last

Dancer's Date of Birth *

Classes

Tuesday 6:30-7:30pm | Wednesday 7:00-8:15pm

Email *

Phone *

Address *

City *

State *

Zip *

How did you hear about us? *

Emergency Contact Number *

Emergency Contact Person *

Visit

6001 Johnson Dr
Mission, KS 66202

Directions

Hours

Contact

tel. 913.396.3113
dance@omirishdance.com

Get in touch

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913.396.3113

6001 Johnson Dr, Mission is 66203

Register to Irish Dance in Kansas City

We Are Experiencing Issues and Hope It’s Resolved Soon

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