Registration Form for Mondays: Waltz & Swing Intermediate Level Lessons
Mondays Sept 24 - October 29, 2018 (no class on Oct 22; November dates TBA)

Location: The Chapel at the Presbyterian Church of Chestnut Hill, 8855 Germantown Avenue, Phila, PA 19118

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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Waltz Intermediate Level 7:00 - 8:00 pm (no class Oct 22)
Swing Intermediate Level: 8:15 - 9:15
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
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