Welcome Form
Thank you for your expressed interest in dance lessons. Let's learn more about you. Once you've completed this form, Ciara will follow up to schedule your private group lesson or introductory dance lesson ($10), which can be applied towards a lesson package. All lessons are taught in our private, home-based studio. (address sent in follow up message). Note: We respect your privacy and will maintain confidentiality.

Best, Asangwua & Ciara Ikein
Owners of Ballroom Alchemy      864.735.8351     www.BallroomAlchemy.com    Greenville, SC 29605
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. Report Abuse - Terms of Service - Privacy Policy