REGISTRATION PROCESS: (1) Enter Student Information     (2) Print Receipt     (3) Pay Online or Mail Check
 
International Style WALTZ (Intermediate/SILVER)
Class Dates: THURSDAYS  Starting:  September 16 - September 30, 2010, 3-weeks
Class Time: 8:30 PM
Class Location: Crown Dance Studio, Fairfax VA
Class Instructor: Alex Senko
Price: $ 25
* 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: