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Online Workshop Registration
One form per person (or Up to 2 dancers in the same household) is required.
The Shipping Charges refer to online convenience fees.


June 11, 2022 Workshop Registration

Register for June 11, 2022 Workshop
Change number to 1 if registering one person
This is helpful if registering and paying for 2 people in the same household
Main Dancer Fill info Below
Main Dancer Full First and Last Name :
Main Dancer preferred phone:
Main Dancer E-mail:
Main Dancer Level (Beginner, Improver,
Intermediate or Advance
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Second Dancer (Same household)If applicable fill below or leave blank
Second Dancer Full First and Last Name :
Second Dancer preferred phone:
Second Dancer E-mail:
Second Dancer Level (Beginner, Improver,
Intermediate or Advance
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Any other comments?

Please complete one registration for each dancer

By registering you acknowledge the release of liability:
By the submission of this form by the party listed above, signifies the following:
“I agree to hold the organizers of this event and their agents harmless from all suits,
claims, or demands of every kind and character arising out of, an in conjunction with this event.
I understand the physical risks of attendance or participation in this event
and assume full responsibility for any and all.