Ballroom Fitness with Belicia
Time: Saturday 4:30pm - 5:30pm
Location: 1528 S El Camino Real #208, San Mateo, CA 94402
Price: $15/person
Limited class size: 20 people

Contact:
(650) 307-2455
btang44@gmail.com
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Student Name *
Parent / Guardian Name
If student is under the age of 18.
Email *
Phone Number *
Select one of the following payment methods *
Payment: Venmo to @Belicia-Tang or PayPal to "btang44@gmail.com". For Venmo, please use 2455 when asked for the last 4 digits of phone number. For PayPal, be sure to select Friends & Family. In the description, write: "[Your Name] + ballroom fitness". We will notify you once we have received the payment.
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