Registration Form

Please provide the information requested below. We will contact you to confirm your registration and to make arrangements to collect payment. If you have any questions, please contact Miriam at 850-974-0091. Press OK to continue your registration process.  Thank you!

* 1. Please provide your First & Last Name, Cell Phone Number &, Email Address. We use cell numbers to contact you regarding payment arrangements and to text emergency closure information. We do not SPAM.  Email addresses are collected to provide information about our classes. You may opt out of this service at any time.

* 2. Which class or classes are you registering for?

* 3. Please provide the first & last names of the people you are registering for the Absolute Beginner Line Dance Class. If you are not registering for this class enter "NONE" in the text box.

* 4. Please provide the first & last names of the people you are registering for the Beginner thru Mainstream Square Dance Class. If you are not registering for this class enter "NONE" in the text box.

* 5. Please provide the first & last names of the people you are registering for the Beginner Cued Choreographed Ballroom class. If you are not registering for this class enter "NONE" in the text box.

* 6. Please indicate the type of payment you would like to make. We will contact you via the phone number you provided above to make arrangements for payment.

* 7. How did you hear about us? Please be as specific as possible so that we can track our advertising dollars. Thank you!

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