New Customer Registration Form

New Listing Request

Complete the form below for a free listing on the Queer Dance Connect directory. Only complete the fields that are relevant, and where you are happy for the information to be shared on both our Instagram account and Facebook page.
What type of listing would you like?
If Other, please specify:
Your First Name:*
Your Company Name (if applicable)
For Partner Search Only

Skip this section if your listing is for a class, event or competition
Age
Height
Please give your height in (cm)
In a short sentence, what are you looking for in a partner?
For example: Looking for a male follower to compete in Ballroom, would be open to 10 dance for the right person
For Events and Competitions Only

Please skip this section if your listing is for a class or partner search
Name of your Event / Competition
Skip this field if your listing is for a Partner Search
Date of Event / Competition

DayMonthYear
Skip this field if your listing is for a Partner Search
For All Listings

Please complete the following fields for all listings
Dance Styles:*
Address (only complete the fields you are happy to be shared on your listing)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Caption to share with your listing*
Images (Maximum 3)

Upload the images you would like to be shared on the listing
File Upload*

Note: If you upload multiple images, I will select the best that work in the template.
Cancelof
Contact Details
Instagram:
@example
E-mail:
example@example.com
Website:
www.example.com
Any specific hashtags you would like to be included:
Don't worry if unsure, I will add the most relevant hashtags to drive the reach of your listing
Any other details or notes you would like to share?
Should be Empty:

New Listing Request

For Partner Search Only

For Events and Competitions Only

For All Listings

Images (Maximum 3)

Contact Details