To register for classes fill out the form below and press the submit button. If you are signing up more then one person fill out the following form for each person separately. Confirmation and payment will follow on the next page.

• First Name: Last Name:
• E-mail Address: (e.g.: you@aol.com)
• Phone Number (with area code): - -

• Address:

• City: State: Zip:

Check your class or classes:

• Beginning Swing - Lindy Hop (Tuesdays, 7:15pm)
• Air Moves & Tricks - November 6th Workshop (7-8:30pm)
• Air Moves & Tricks Class Series (Thursdays, 6:45pm)
• Fast Lindy! (Thursdays, 8:00pm)
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• $10 off your total if you are in two 5-week class series during the same session!
• For Classes held: November - December, 2008 January - February 2009 Choose Your Class Session

Payment Options

A PayPal account is NOT required to pay via PayPal.

• Credit or Debit via PayPal (online)
• Check or Money Order (mailed)
• Other: I'll Pay at first class, or someone else has sent my payment, etc.

How did you hear about our dance classes?

Other Comments:

Submit now and receive instructions for your pre-paid discount!