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*
E-mail *
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Emergency Contact Name *

First NameLast Name
Emergency Contact Phone Number *
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How did you hear about us?*
Other*
Which Classes are you interested in taking?

Beginner WorkshopsChoreo Fusion WorkshopsFlashmob performancesProfessional Dance OpportunitiesDancePowered Instructor CertificationHow to dance at the clubs as an adult by myself or with my partner/s
Date You Are Attending*

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Date
Date You Are Attending*

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Date
Sliding Scale Pricing.
My Products
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Dance Party Sliding ScaleIf 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:

Client has provided proof of vaccination against Covid 19Need Proof moving forward. Was a client before vaccinations were required
DancePowered Dance Fitness West Seattle

Sunday Feb 27 11:30am -1pmSunday March 6 11:30am -1pm
Payment Methods

Choose from one of the PayPal options to make your payment.
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DancePowered Bellevue PopUp Class Registration

Customer Details:

Sliding Scale Pricing.