Ballroom Dance Registration
PLEASE READ/REVIEW THE FOLLOWING INFORMATION PRIOR TO REGISTERING

There will be one (1) 6 Week session of Ballroom Dance offered at Morgantown Dance Studio during the Fall 2017 term. The 6 week session, taught by Teresa Sestito, will begin on Friday, October 13th from 6:30 PM - 7:30 PM

The Ballroom Dance sessions will meet from 6:30 PM - 7:30 PM on
Friday, October 13th
Friday, October 20th
Friday, October 27th
Friday, November 3rd
Friday, November 10th
Friday, November 17th

No Experience or partner required! All levels welcome! Lessons will be differentiated for various level dancers.

American Rhythm in 6 weeks dancers will learn the Rumba, Mambo, and West Coast Swing. At least 4 dance figures for each dance. Each class will review the basic step so couples can walk in to any lesson for the first time and end the lesson by dancing out.

Dancers are asked to wear everyday comfortable clothing and soft sole shoes.

You are welcome to join the full six (6) week session as an INDIVIDUAL ($80 paid in full for the full six week session) or as a COUPLE ($150 paid in full for the full six week session).

BOTH DANCERS OF A COUPLE NEED TO COMPLETE A REGISTRATION FORM

If you cannot attend the full six (6) session, you may choose the session(s) you want/are able to attend, and pay each week - $15 per session for an individual or $25 per session for a couple.


NOTES ON PAYMENT OPTIONS
Please choose a payment option that best fits your needs.

You may pay at the studio by CASH, CHECK, or CREDIT, or you may request a PayPal invoice be sent to you.

Please fill out all required questions and select those classes for which you would like to register.

Email address
Dancer's First Name
Your answer
Dancer's Last Name
Your answer
Registering as an:
Please enter the name of your partner if you are registering as a Couple.
Your answer
Dancer's Date of Birth
(MM/DD/YYYY)
Your answer
Dancer's Age
Your answer
Gender
Dancer's Email Address
All important announcements are made via email. Please check your email often.
Your answer
Dancer's Cell Number (if applicable):
Your answer
Home Phone Number (if applicable):
Your answer
Mailing Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Emergency Contact Name
This is someone that we can contact only in the event that parent(s) cannot be reached.
Your answer
Emergency Contact Phone Number
This is someone that we can contact only in the event that parent(s) cannot be reached.
Your answer
Are there any medical concerns or prior injuries we should be aware of?If yes, please explain.
If yes, please explain. If none, please type NONE.
Your answer
I understand that Morgantown Dance assumes no liability for injury or damages arising from participation in any dance activities associated with the school. Morgantown Dance is not responsible for any articles that are lost or stolen.
By placing your initials here, you agree with this statement. If you do NOT agree, please type NO.
Your answer
I hereby consent that any photographs in which the student named above appears while in a Morgantown Dance activity may be used without identification by Morgantown Dance, its assigns or successors, for illustration and publicity purposes. I understand that such photographs shall remain the property of Morgantown Dance, Inc.
By placing your initials here, you agree with this statement. If you do NOT agree, please type NO PHOTOS.
Your answer
Dancer's or Parent's Place of Employment
Morgantown Dance uses this information for grant writing and marketing purposes. If you are comfortable with supplying this information, we would appreciate your help.
Your answer
Have you had any prior ballroom dance training?
Please list any other dance schools/studios and classes.
Choose classes:
Please check the boxes for any classes for which you would like to register.
Please add any additional information:
Your answer
Payment Options
ABOUT THE CLASSES

The Ballroom Dance sessions will meet from 6:30 PM - 7:30 PM on
Friday, October 13th
Friday, October 20th
Friday, October 27th
Friday, November 3rd
Friday, November 10th
Friday, November 17th

No Experience or partner required! All levels welcome! Lessons will be differentiated for various level dancers.

American Rhythm in 6 weeks dancers will learn the Rumba, Mambo, and West Coast Swing. At least 4 dance figures for each dance. Each class will review the basic step so couples can walk in to any lesson for the first time and end the lesson by dancing out.

Dancers are asked to wear everyday comfortable clothing and soft sole shoes.

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