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Contents
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Welcome
About Us
Announcements
Calendar
Lindy Hop
Swing &
Balboa
Classes
Hip Hop
Classes
Swing
Dances
International
Workshop Series
Beantown
Camp
Northeast
Lindy Hop
Championships
Performances
Shop
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Mailing List
Payment
Directions
Links
Acknowledgements
Site Map
Search
Contact Us

Newton Class Registration Form

Step 1: Submit Registration Information
Please complete and submit the following form which provides your registration information and classes you wish to take. Use a separate form for each person. A registration is not complete and a place is not secured until payment is also received. It is still helpful, and will speed your check-in, to submit a form even if you will be paying at the first class. If you change your contact information (email/telephone/etc.) after registering, please use our on-line mailing list form to notify us of the updates or contact us directly with the information.
 
Step 2: Make Payment
Newton Class Registration Form
Name
use separate submission for each person
Email Address
if you do not have email be sure to provide a phone number below
Telephone (day)
eg: 508-555-1234x56
(evening)
eg: 508-555-1234
(cell/mobile)
eg: 508-555-1234
May-June Session
Sunday Classes
Intro to Swing/Lindy Hop Level 1f (4:30-5:30pm, May 4-Jun 15, 2008, no class 5/25)
Lindy Hop Level 2e (5:45-6:45pm, May 4-Jun 15, 2008, no class 5/25)
Intermediate Balboa (7:00-8:00pm, May 4-Jun 15, 2008, no class 5/25)
Partner Charleston (8:15-9:15pm, May 4-Jun 15, 2008, no class 5/25)
Cost per person
Discounts are for the same person taking multiple classes in the same session.
Any one 6 week class (covers 6 weeks of lessons)   $60
  Discount price for LH Level 1 after completing 2 previous Level 1 sessions   $50
Discount price for LH Level 2 after completing 2 previous Level 2 sessions $50
Any two 6 week classes   $100
Any three 6 week classes   $140
Any four 6 week classes   $180
Total Amount
$
Status
New
If you are not already on our mailing list complete this section.
Already On Mailing List
If your full address is already on our mailing list skip this section.
Change Of Address
If your address has changed complete this section.
Same Address As
If same address as another person already registered, just note their name in the Comments section below and skip this section.
 
extra line for address, leave blank if not needed
Street
Town
State ZIP
Where you heard of us
Role
Not Sure What This Means
Lead
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Comments
Verification Code 2194
Please enter the verification code as it is shown above (used to help prevent SPAM submissions).
Submit Registration Information Clear Form
 
 

Welcome | About Us | Announcements | Calendar | Lindy Hop Swing & Balboa Classes | Hip Hop Classes | Swing Dances | International Workshop Series | Beantown Camp | Northeast Lindy Hop Championships | Performances | Shop | Video/Photo | Mailing List | Payment | Directions | Links | Acknowledgements | Site Map | Search | Contact Us

Last Modified Sunday, May 4, 2008 10:47 AM
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