REGISTRATION PROCESS: (1) Enter Student Information     (2) Print Receipt     (3) Pay Online or Mail Check
 
BRONZE Premium Membership w/ Private Lessons
Class Dates: Unlimited  Starting:  for 12 Months
Class Time: any
Class Location: ALL Locations in DC, MD, and VA
Class Instructor: Ballroom Dance Company
Price: $ 3040
* Required fields
* First Name:
* Last Name:
* Leader or Follower:
* Street Address:
* City:
* State:
* Zipcode:
* Home Phone:
* Work Phone:
Cell Phone:
* Email:

 
Complete the form below to register another person for the same class. Leave the form blank if you are only registering one person and complete the payment information at the bottom of the form.
First Name:
Last Name:
Leader or Follower:
Street Address:
 City:
 State:
Zipcode:
 Home Phone:
Work Phone:
Cell Phone:
Email:

 
Payment Information
* Payment Type:
Total Amount $: .00
Comments/Notes: