Group Class Registration Form and Dance Interest Survey-Future Classes 2019

This is a Registration and Interest Survey for scheduled, and future, Ballroom and Latin Group Classes, taught by Ralph Hunn, Professional Dance Instructor, owner of Affordable Dancing, in Myrtle Beach, SC.  To schedule and plan future classes to be taught will depend upon the interest of those who complete this survey, are in his database and contact list. Also holding classes depends upon the number of participants (as there is a minimum number for a good class),  availability of his schedule and those of interested potential participants. If you received this survey by e-mail, it is because there has been expressed interest in participating in his group classes or you have previously attended one he taught.
By completing this survey, you will provide Ralph the ability to create a great group class which will be designed to meet the needs of those interested in taking his group classes.  Classes are open to singles and couples.
Your contact information and survey answers is confidential and will only be provided Ralph and/or his assigned associate who has been selected to work with him for planning purposes.
Thank you for taking the time to complete this important planning survey. For couples, each person needs to complete the Registration Form for contact purposes.

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* 2. If you answered yes, what type of group class did you attend?

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* 3. If you were to consider taking his  Ballroom or Latin Group Dance classes what type of dance would you like to learn? Mark those of interest to you.

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* 4. Could you provide your level as a dancer?

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* 5. Could you provide where you live for planning purposes? Please check your location. 

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* 9. What days of the week would work best for you? There are limitations with Ralph's schedule as to what days of the week he can schedule group classes and the availability of places to teach.

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* 10. What time(s) of the evening would you be able to attend? Please check those that apply.

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* 11. It is understood the group classes are prepaid at a cost of $60.00 per person(a couple $120) for the six week time period, and prepayment would be appreciated one week prior to the first class to determine how many will be attending. You also may pay the full amount at the first class. Payment is to be made by check (payable to Ralph Hunn) or cash. Credit cards are not accepted.
If there is not enough interest, and prepayment has been made, as the class may not have enough participants, (six participants are needed for a group), then refunds will be made.
Also, I understand that refunds are not provided after the first class unless for unexpected, documented illness or emergency reasons.
Pre payment may be sent to:
Ralph Hunn
Affordable Dancing
C/O Kathy L. Fortner, Assistant
PO Box 1589
Pawley Island, SC 29585

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* 13. I wish to provide my contact information as I am very interested in attending a group or groups scheduled and held by Affordable Dancing. My information is provided below and understand that it is confidential and either Ralph and/or his assigned assistant will contact me regarding times, dates, schedule of the classes, and if pre-payment has been made, confirmation of my payment.
I also would like to provide my contact information to know about group classes Ralph may be teaching in the future. I'm giving permission to be contacted regarding class updates and new scheduled classes.

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