Kizomba Workshop 2023 Registration Form

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Instructors: Michael and Susan Payne

Cost: $40/person

Payment options: Venmo, Zelle, Cash

Location: Kicks Academy of Dance

364 Wilmington Pike

Glen Mills, PA 19342

Time: 10:00 AM - 1:00 PM

Přihlaste se do Googlu, abyste mohli uložit dosavadní postup. Další informace

E‑mail *

First Name (s) *

Last Name (s) *

Phone Number *

Are you registering as a Lead or a Follower? *

What is the name of your partner? *

How would you like to pay? Cash, Venmo or Zelle? *

If paying by Venmo, what is your user name? (if paying by cash or Zelle, please type n/a)

Venmo info: @Michael-Payne-242

If paying by Zelle, what is your user name? (if paying by cash or Venmo, please type n/a)

Zelle info: Mike Payne 609-332-2911

How did you hear about us? *

Would you like to be added on our email list for more future Classes and events? *

Yes

Not at this time

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