Registration Form: Swing Interm. & Tango

Upcoming lessons on Wednesdays: April 4, 11, 2018

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?

yes

Swing - Intermediate level: 7:00 - 8:00 pm

April 4

April 11

Tango: 8:15 - 9:15

April 4

April 11

Payment

Bring cash or a check made payable to Mostly Waltz to your 1st class. Venmo & Zelle are also accepted.

$8 each for 5 or more lessons taken in 2018 (can be combined with our Monday classes.)

$10 each for 3 or 4 lessons (prepaid)

$12 - one class at a time (please let us know beforehand)

I will be dancing as a

lead

Comments or Questions, including if you'd like to know more about Private Lessons

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