Bollywood Shake 2010 Classes Registration Survey

Bollywood Shake 2010 Classes Registration

1. "Bollywood Shake" Dance Class Registration Form

Please enter the information below to register for our classes. Payment can be made on the first day of class by cash or check or by credit card at our website.
***We now also accept credit cards over the phone and at our main Anderson Mill Rd studio.***

Please note that some of the classes (e.g. Unlimited workout classes, Bollywood Kids(Boys 4-12yrs), Bollywood Kids(Teens) are available only at our Main Studio located at -

10700 Anderson Mill Rd, #208
Austin, TX 78750(Next to Emler Swim School)

Check out further details on schedule and pricing on our website at http://www.bollywoodshake.com.

For additional questions, e-mail info@bollywoodshake.com or call 512-257-SHAKE or 512-257-7425.

Bollywood Shake 2010 Classes Registration

1. "Bollywood Shake" Dance Class Registration Form

*
1. Full Name:

*
2. Contact Phone Number:

*
3. E-mail address:

4. Address:

*
5. I choose to register for the "Bollywood Shake" dance classes at the following location:

*
6. Type of class:

*
7. Duration and Month/Day of class:

8. Age (required for children's classes):

9. Dance skill level:

10. Where did you hear about us? Any Comments/Suggestions/Requests?

Bollywood Shake 2010 Classes Registration

1. "Bollywood Shake" Dance Class Registration Form

*1. Full Name:

*2. Contact Phone Number:

*3. E-mail address:

4. Address:

*5. I choose to register for the "Bollywood Shake" dance classes at the following location:

*6. Type of class:

*7. Duration and Month/Day of class:

8. Age (required for children's classes):

9. Dance skill level:

10. Where did you hear about us? Any Comments/Suggestions/Requests?

*
1. Full Name:

*
2. Contact Phone Number:

*
3. E-mail address:

*
5. I choose to register for the "Bollywood Shake" dance classes at the following location:

*
6. Type of class:

*
7. Duration and Month/Day of class: