Required Fields |
To:
Webmaster@WeSquareDance.com |
Submitted by: |
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Your Phone: |
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Your E-Mail: |
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Club: |
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District: |
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Level of Lessons (Mainstream, Plus, Rounds,
Lines, etc.): |
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Day of the
Week Your Lessons Are On: |
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Lesson Location Name: |
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Location Address: |
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Additional Location Information If
Necessary (Room Number, Use Side Entrance, etc.): |
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City: |
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State: |
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ZIP: |
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Caller or
Cuer Giving Instructions: |
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Contact Name: |
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Contact Phone: |
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Contact E-Mail: |
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Last Date of
Lessons When NEW Dancers Are Accepted (Usually the First Three Lesson
Dates): |
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Proposed Date of Halfway Dance (If You Are Having One): |
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Proposed Date of Graduation Dance: |
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Additional Information: |
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