Registration Form for Wednesdays: Waltz & Swing Lessons - Basic Level
Wednesdays, Sept 12 - 26, 2018 (note: October & November dates & dance styles TBA)

Location: Allens Lane Art Center, McCallum Street & Allens Lane, Philadelphia 19119
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 Basic Level 7:00 - 8:00 pm
Swing Basic 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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