SGUMC Dance Instruction Registration Fall 2017
Please complete the form below to register for the fall 2017 Wednesday Night at the Grove Dance class. *Please note that registration is not complete until Dixie has received your payment of $50 per couple. If you have any questions, please contact Dixie Chappell at dixiechappell@shadygroveumc.org or 804-317-7593.
Participant Name (Person A)
Your answer
Participant Name (Person B)
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Email Address (Person A)
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Email Address (Person B)
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Cell Phone Number (Person A)
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Cell Phone Number (Person B)
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Names and ages of children attending Wednesday Night classes (If Applicable)
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