Special Event Group Class Registration
Student Information
Full Name
*
First Name
Last Name
Full Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
E-mail
*
Contact Number
*
-
Area Code
Phone Number
Please Select Which Group Class You Will Be Attending
*
Please Select
Wednesday 7:15pm
Beginner Class
Friday
please select the date of the group class you will be attending
*
-
Month
-
Day
Year
Date
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Group Class Tickets:
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Non-Member Single
$15.00
$
15.00
This option is for first time students or students not taking a minimum of two private lessons per calendar month at Prestige Ballroom.
Non-Member Couple
$25.00
$
25.00
This option is for first time students or students not taking a minimum of two private lessons per calendar month at Prestige Ballroom.
Current Member
Free
$
Free
Current Members are any students currently taking Private Dance Classes at Prestige Ballroom. To qualify for this option students must be taking a minimum of 2 Private sessions per calendar month.
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Subtotal
$0.00
$
0.00
Tax
$0.00
$
0.00
Total
$0.00
$
0.00
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