Your Full Name*

Your Phone Number (Please include Area Code)*

Your Email Address*

Your Social Media Tag (Optional)

Dance Interests* (Select all that apply)
Argentine TangoBachataBallroomCountryLatinSalsaWest Coast SwingFitness Class

What type of class environments are you interested in?* (Select all that apply)
Weekly Group ClassesPrivate LessonsWorkshopDance TeamFitness ClassesImmersion ProgramsCorporate DanceFirst Wedding Dance

What is your current dance experience level?*
---Beginner (No Prior Classes)Intermediate (Some Classes)Advance (Complete Training Program)

How did you hear about us?*
---FacebookInstagramFriend or FamilyWebsiteLocal EventWalk-In

Would you like to receive information about upcoming classes and programs?*
---Yes, Via EmailYes, Via TextBoth Email and TextNo Thank you

Would you like to claim your free class?*
---YesNo

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