Welcome Form
Thank you for your expressed interest in dance lessons. Let's learn more about you. Complete this intake form, and we will follow up to schedule an introductory dance lesson w/ consultation ($10). Or preview prices and book here: https://ballroomalchemy.as.me . Dance lessons are taught at our private, 340 sqft home-based studio off I-85 exit 46 Augusta Rd / S. Pleasantburg / Mauldin Rd. (Full address sent upon booking). 

Note: We respect your privacy and will maintain confidentiality.

Best, Asangwua & Ciara Ikein
864.735.8351     www.BallroomAlchemy.com    Greenville, SC 29605
Ballroom Alchemy LLC is licensed and insured.
Sign in to Google to save your progress. Learn more
Name(s) *
Phone *
Email *
Best ways to reach you (check all that apply) *
Required
What services are you most interested in receiving information? (check all that apply) *
Required
How did you hear about Ballroom Alchemy?
General Availability
Check all boxes that apply. If you have a dynamic schedule that changes regularly, please note that in the next section (additional information).
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Additional Information
Check out our playlists on YouTube: bit.ly/ballroomalchemy 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms