PopUp Registration

DancePowered Bellevue PopUp Class Registration

Let’s Go EastSide! Sign-up early to help ensure this class takes off! Tell your friends!
If you've already registered for previous classes through this form, you can make your payment to DancePowered through Venmo @JenniferCepeda_Productions.

Just enter the dates, and the workshop you are registering for in the comment section.
Customer Details:
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

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Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
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Emergency Contact Name

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Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about us?
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Which Classes are you interested in taking?
Date You Are Attending

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Date
Date You Are Attending

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Date
Sliding Scale Pricing.
My Products
prevnext( X )
Dance Party Sliding Scale
If you want to be extra helpful with the cost of the event xo

$30.00 Quantity

Total

$0.00
Please note:

if you encounter any issues/difficulties paying, please notify DancePowered immediately!

Dancepowered@gmail.com
Administration to fill out:
DancePowered Dance Fitness West Seattle
Payment Methods

Choose from one of the PayPal options to make your payment.
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Customer Details: