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Calendar Registration form Dance Styles

Jenny and Toby

Registration Form

If you have signed up through PayPal, thank you for your payment. Your transaction has been completed, and a receipt for your purchase has been emailed to you. You may log into your account at www.paypal.com/us to view details of this transaction.

If you have not paid for your classes yet, sign up for a class using PayPal, or print out the form, complete it, and mail it with your check to:

First Step Dance
53 Upper Welden St.
St. Albans, VT 05478

You will receive a call or email to confirm receipt of your payment and registration form. Please pay for your lesson(s) before the start of your first class.

Complete Your Registration

Please fill out the following information to complete your registration for First Step Dance lessons and workshops. Please signup as either a leader or a follower, so we know how to tailer your dancing lessons. If you're signing up with a partner, fill out both names.

Payment
I have sent my credit card payment via www.PayPal.com.
I have sent my check, payable to First Step Dance.
Leader's Name
First:		Last:
Follower's Name
First:		Last:
Address
Address 1:		2:
City:		State:
Zip/Postal Code:
Phone
Home:		Work:
Online
Email:
Others In Your Group
Name 1:		Name 2:
History
How did you hear about us?			Referral Seven Days Google Yahoo Yellowpages.com Phone Book Other
If by Referral, please tell me who referred you and help your friend receive a discount.
If Other, please specify.
Please tell me about your dance background, if any.
What is your main purpose in taking this course?
Please provide any additional information you think I should know about you.