Special Dance Information

Special Dances Submitted Using This Form May Be Listed On Any Or All Of The Following Websites:
          1.  Missouri Federation,
          2.  St. Louis Metro,
          3. 
Northeast District - KSDA,
          4.  South District - KSDA,
          5.  HOA Federation.
You May List Any Or All Of These Websites On The Line "
List This Dance On The Following Websites" Below.

  Required Fields

To:

Webmaster@WeSquareDance.com

Your Name:

Your Phone:

Your E-Mail:

Club- if Dance is Hosted or Sponsored by One:

List This Dance On The Following Websites:

Special Dance Name - if There Is One:

Dance Location Name:

Dance Location Address:

Additional Location Information If Necessary:

Dance Location City:

Dance Location State:

ZIP:


Caller Name(s):  (If None, leave blank, or enter "Guest")

Round Dance Cuer(s):  (If None, leave blank, or enter "Guest")

Line Dance Cuer(s):  (If None, leave blank, or enter "Guest")

Dance Time:

Dance Date:

Dance Level:  (Basic, M/S, Plus, Advance, Rounds Phase II - IV, Lines, etc. - List All That Apply):


Contact Name:

Contact Phone:

Contact E-Mail:

Alternate Contact Name:

Alternate Contact Phone:

Alternate Contact E-Mail:


Additional Information:


Please Click In The Box Below To Prove That You Are Not A Robot

   
             

E-Mail Sent Using This Form Will Be Delivered To: Webmaster@WeSquareDance.com
(If you need to send an attachment, copy this E-Mail address and paste it into your own E-Mail program)

Updated 9/29/15