Registration

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Come dance with us! Our Social Ballroom classes are a great way to spend Friday nights. Singles and couples - including beginners - are welcome! Each session will focus on different styles such as Cha Cha, Waltz, Fox Trot, Swing, and more.

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	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

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	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
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