Registration Form for Swing & Blues
Lessons on Wednesdays, November 2017 (no class on Nov 22)

Location: Allens Lane Art Center, 601 W. Allens Lane, Phila., PA 19119 (in Mt. Airy)

Instruction by Peggy Leiby & Ret Turner

Please fill out one form for each person applying to attend. Be sure to click the SUBMIT button at the bottom

First & Last Name
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Email Address
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Telephone number
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Ok to text to this number?
Swing Beyond the Basics: 7:00 - 8:00 pm (practice time 8:00 - 8:15)
Blues: 8:15 - 9:15 (practice time 8:00 - 8:15)
Payment
Bring cash or a check made payable to Mostly Waltz to your 1st class. Venmo & Zelle are also accepted.
I will be dancing as a
Comments or Questions, including if you'd like to know more about Private Lessons
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