SPRING 2004 Class Registration Form

If you have already registered, please click here for Payment Instructions. Problems or Questions during online registration or payment? Please call the BDC at (301) 294-1797 or email support@ballroomdancecompany.org

REGISTRATION PROCESS: (1) Enter Student Information    (2) Print Receipt    (3) Pay Online or Mail Check
A. Select a Location:
(DANCE CENTRAL Registration Form - click here)

B. Select a Class:
First Name:
Last Name:
Leader or Follower:     need assistance?
Street Address:    
City:  State:   Zip: 
Home Phone:
Work Phone: 
Cell/Other Phone:
 
  
Email:  
Need to register for two people?
First Name:
Last Name:
Leader or Follower:     need assistance?
Street Address:     Same as first person?
City:  State:   Zip: 
2nd Home Ph:
2nd Work Ph: 
2nd Cell/Other Phone:
 
  
2nd person's Email:  
Payment Type:
 Total Amount  $
.00  
Bally or Sport & Health Member Rate?
To receive the Bally or Sport&Health member discount for applicable classes, check the member rate box above and enter your membership number below in the Notes section.
Coupon Code :
Coupon cannot be combined with Bally or Sport & Health member discount
Comment/Notes: