Attitude Dance Studios

Wedding Dance Lesson Registration

 

Student Information

 

When is your wedding date?                                                                         

For Office Use Only 

First Name

Last Name

Address 1

Address 2  

City     State   Zip

 

Home Phone   Cell Phone 

Work Phone    Extension Number 

Your Email Address

 

 

 

Dance Partner Information

 

 First Name       Last Name       Relationship  

Address 1       Address 2  

City       State       Zip 

Continue For Easy Registration

 

Music

 

 Select your choice of dance style:


Song Title & Artist  

 

Title

Artist

First Choice

Second Choice

Third Choice

Choice of Group Class or Private Lessons

 Choose a Group Class or Private Lessons:

Private Lessons

Choose one of the below packages: 

Discount if any: 


Select a location as your first choice for your lessons: 


What date or dates do you prefer?  Please select more than your lesson package in case the first choice is not available.

1st Lesson        

2nd Lesson 

3rd Lesson 

4th Lesson 

 

5th Lesson 

6th Lesson 

7th Lesson 

8th Lesson 

 

9th Lesson 

10th Lesson 

 

 

 

 

What time do you prefer to take your lessons?  Please provide three choices?

 

First Choice      Second Choice     Third Choice 

 

 

Thank You For Your Registration


 Choose how you want to make payment for your dance lessons.
You will be sent an email instructing you how to complete the payment.

Check

Credit Card

Gift Certificate      Gift Certificate Number