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Get Dance Trained Now!!!

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Help us get to know your particular dreams and aspirations - what is it you wish to accomplish with your Training in Dance? The answers you supply here will help us match you with instructor who suits you best.  Fill out the information in each section as requested. At the end of the form supply your name and contact information, and submit the form. You will receive a confirmation message from us shortly. After completion, you should receive a response from us within seven days. Be sure to include your phone number and we will call to set up an appointment to begin your Dance Training!

 

Let's Start With Who You Are...
Name:
Last Name:
Who will the lessons be for:	SelfCoupleSomeone ElseI have a group looking for a teacher
Your Height:
Street or P.O.Box:
City:
Zip Code:
Work Phone:
Home Phone:
Cell Phone:
Fax:
E-mail Address:
Now, Let's talk Dance...
My interest in dance can be explained as:	I want to take advantage of the exercise benefits of danceI want to stand out at the clubs.I want to win dance competitions.I want a fun and exciting hobby.I want to make a special occasion even more specialI'm just curious.
I consider my level to be:	BeginnerIntermediateAdvancedProfessional
I Have/Have Not taken lessons before:
The dance I am interested in(check all that apply)	Waltz Tango Foxtrot or Rumba Cha-Cha Bolero Mambo West Coast Swing East Coast Swing Salsa Samba Tejano Rhythms Tropical Cumbias Merengue Modern / Jazz Hip Hop Two-Step C/W Waltz Other
I am interested in the following training:	PrivateGroupsCoachingA complete Dance Training Package
My schedule allows me to take lessons (check all that apply)	Monday Tuesday Wednesday Thursday Friday Saturday Sunday Morning Afternoon Evening
Finally, For Us...
How did you hear about us?	Referral From a Friend (May we ask who?) Web Search (Could you tell us which Search Engine?) Telephone Directory (Which one?) Other
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