Pre-Registration Form  (Please use separate forms for each student)
Leprechaun Dance Camp August 4-8, 2008
Pirate Camp August 11-15, 2008
Registration Fee is waved for dance camps, but $100 non-refundable deposit is due at time of pre-registration.  Remainder of  dance camp fees are due by the start of the first day of camp.
Registering For Dance Class: One Time $25 Registration Fee Per Dancer

To guarantee your place in a Murray Irish Dance class or Dance Camp, send your completed form(s) with your Dance Camp $100 deposit or Class registration fee of $25 enclosed to:
The Murray School C/O The Pacific Festival Ballet
4620 SW Beaverton-Hillsdale Highway
Portland, Oregon 97221

Student’s Name
Date Of Birth
Parents Names
Mother
Father



Street Address
City, State & Zip

E mail Address

Home Phone #

Work # (Optional)

Any Medical Conditions?
Any Dance Experience?
Irish Dance Experience?
What School/ How Long?
How Did You Hear About Us?
I Am Registering For The Following Class:
Location/ Day
Level/ Time