West Coast Wednesdays Registration
Name
*
First Name
Last Name
Email
*
example@example.com
Please Select One:
*
Dancing With Everyone (Masks Required)
Dancing Only With My Partner (Masks Still Required)
If Only Dancing With Your Partner, Please Add Partner Name:
Registration Options:
*
prev
next
( X )
West Coast Wednesdays Cover (Mandatory)
Entry Into West Coast Wednesdays Dancing from 8:30 until 11 PM
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Beginner Lesson
7 PM Beginner Lesson
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Intermediate Lesson
7:45 PM Intermediate Lesson
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm