Kizomba Social 2023 Registration Form
Instructor: Michael and Susan Payne

Cost: $8/person

Payment options: Venmo, Zelle, Cash

Location: Kicks Academy of Dance
                  364 Wilmington Pike
                  Glen Mills, PA 19342

Time: 5:30-6:00 PM Kizomba Lesson
           6:00-8:00 PM Open Floor

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Email *
First Name *
Last Name *
Phone Number *
Are you registering as a Lead or a Follower? *
How would you like to pay? (Cash, Venmo, 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
*
N/AIf 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 this social? *
Would you like to be added on our email list for more future Classes and Rueda events? *
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