Full Name
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First Name
Last Name
E-mail
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Phone Number
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-
Area Code
Phone Number
Gender
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Female
Male
Are you coming by yourself or with a partner?
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I am coming by myself (partner not required - your teacher will be your partner)
I am coming with a partner (cost extra $15)
What type of lesson would you like to have?
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25min Intro Lesson + consultation ($29)
1 Hour Lesson ($150)
Pick a day you can come for your first lesson with us. Choose 2 or more days to ensure availability.
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Tuesday
Wednesday
Friday
Sunday
Pick a time you would like to start: Please choose 2 or more time slots to ensure availability.
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10:00 am
2:00 pm
6:00 pm
11:00 am
3:00 pm
7:00 pm
12:00 pm
4:00 pm
8:00 pm
1:00 pm
5:00 pm
9:00 pm
What would you like to learn? You can choose as many as you like.
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Latin Night Club - Salsa, Bachata, Merengue
American Rhythm - Cha Cha, Rumba, Swing, Foxtrot
American Smooth - Waltz, Tango, Foxtrot, Quickstep
International Latin - Rumba, Cha Cha, Jive, Samba, Paso Doble
International Ballroom - Waltz, Tango, Foxtrot, Quickstep
Argentine Tango
Have you taken private dance lessons before? If yes, please tell us more about it.
How did you hear about us?
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