TIPDI - WCS Crash Course Registration

Registration Form
West Coast Swing Crash Course
Saturday, July 23, 2016 - 2:00-5:00 pm

* Indicates required field

Name *

First

Last

Email *

Primary Phone # *

Mailing Address *

How Did You Hear About Us? *

I am enrolling in: *

WCS - Crash Course - July 23

I am enrolling as a: *

Leader Follower Either one as needed

I am enrolling *

Solo With a partner

If with a partner, please list their name here: *

Do you have any prior dance experience? If so, please describe. *

Do you have any injuries or physical limitations of which the instructors should be aware? *

I understand that I am enrolling in a program that requires rigorous physical activity. I certify that I am 18 years of age or older, and that I am physically able to handle the intensive. I understand that neither TIPDI, its instructors, or staff, are liable in the event of any injuries I may incur. (Please check below.) *

I understand and comply with the above statement.

When you click the "CONTINUE" button, your Registration form will be emailed to us, and you will be taken immediately to You Should Be Dancing's Payment page for our Crash Course - July 23. Thank you!

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Registration FormWest Coast Swing Crash CourseSaturday, July 23, 2016 - 2:00-5:00 pm

Registration Form
West Coast Swing Crash Course
Saturday, July 23, 2016 - 2:00-5:00 pm