Request Information

Please fill out the information below. Your request will be sent to the director of the school, who will contact you with more information.

First Name Last Name	Do you have any previous dance experience (of any kind)? [choose one] No dance experience Yes, some dance experience Yes, extensive dance experience If yes, how many years have you danced? [choose one] Less than one year 2-5 years 5-10 years 10 + years
Address Apt. City State , Zip	What type of dancing have you done? (Choose all that apply.) Irish Dance Jazz Tap Ballet Other:
Phone email	If you are currently an Irish dancer what is your competitive standing? [choose one] I have never competed. Beginner Advanced Beginner Novice Prizewinner/Open Prelim Championships Open Championships
Age of student: [choose one] Less than 5 years 5-7 years 8-10 years 11-13 years 14-16 years 17-19 years 20-25 years 26-30 years 31-35 years 36-40 years 40+ years Years	How did you hear about Hibernia? [choose one] Website Hibernia Student Show Or Performance North Texas Irish Festival Advertisement

Thank you for your interest! Please check to make sure you've filled out all the above spaces correctly before clicking the "Submit" button below. Your request will be sent immediately.