YOUR CONTACT INFORMATION

Please complete the requested information below if you would like me to contact you.  I will have you dancing in no time.

* Required fields
Name *
E-mail Address *
What town do you live in?
Home Phone
Cell Phone
Work Phone
Why are you interested in taking dance lessons?
What is your wedding date? (if applicable)
Where will your wedding reception be?
Are you an experienced dancer?
Do you know what dances you are interested in learning? If Yes, please check the dances below.
Is there anything else you would like to let us know about why you want to learn to dance?


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Thank you.  You will be hearing from me to schedule your FREE Introductory Lesson.