2025 Fall Into Lines Workshop

Registration Form

Fill out the form carefully for registration
Date

MonthDayYear
Date
Name

First NameLast Name
Address*

Street Address

CityState / Province

Billing Zip Code
Dancer's Email*
example@example.com
My Products
prevnext( X )
Weekend PassIncludes Thursday night, Friday & Saturday lessons and nightly dance parties. Also includes Electronic Step Descriptions
$80.00 Quantity



Friday PassIncludes Friday lessons and night dance party.
$40.00 Quantity



Saturday PassIncludes Saturday lessons and night dance party.
$40.00 Quantity



Thurday Night PartyIncludes Thursday night dance party.
$15.00 Quantity



Friday Dance PartyIncludes Friday night dance party
$15.00 Quantity



Saturday Dance PartyIncludes Saturday night dance party
$15.00 Quantity



Total

$0.00
Dancer's Telephone Number*
Dance Level:*
Payment by:*
Mail checks to Jamie Marshall, 639 Cameron Ridge Road, Shepherdsvile, KY 40165
Signature

Clear
By signing, I agree to hold the organizers and their agents harmless from all suits, claims, and demands of every kind and character arising out of participating in or/and in conjuction of this event I hereby authorize the reproductions, sale, copyright, exhibition, broadcast, and/or distribution of any events media without limits. I understand the physical risks of any participation in the event and assume all responsibility for any and all injury(s) or personal damages resulting from the event. I certify I am 18 years of age or have permission from legal guardian to participate.
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Registration Form