First Name
*
Last Name
*
Partner Name (If Applicable)
*
Address
Phone
*
Email
*
Select the dances you'd like to learn!
*
Latin (Salsa, Bachata, Merengue etc)
Swing (East Coast Swing, West Coast Swing, LIndy Hop)
Ballroom (Waltz, Tango, Foxtrot)
Country (2-Step, 3-Step, Swing
Other
Select the top 3 reasons for why you would like to learn how to dance.
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Stress Relief
Increased Self-Confidence
Meeting New People/Joining a Community
Exercise For The Body & Mind
Date Night
Getting Ready For an Upcoming Event (Vacation,Wedding, Gala etc)
Have you danced before?
*
NO
Yes
If yes please share more info
*
How would you like to look on the dance floor?
*
Which day of the week works best for your dance lesson?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How excited are you for your first dance lesson on a scale from 1-10?*
*
What time is best for your dance lessons?
*
Afternoons - 12:00pm - 5pm
Evenings - 5pm - 9pm
Yes I'm Ready! Let's Schedule My Lesson!