Dance Scene Studio

25333 Van Dyke Ave.

Center Line, Michigan 48015

Map/Directions

586.757.6300

248.722.6311

www.dancescene.org /

www.michigandancelessons.com

 

 

Group Class, Private Lesson Registration Form

REGISTRANT INFORMATION:

First Name
Last Name
E-mail Address
Address
City
State
Zip
Phone Number
Partner's Name
Gender
Level of Dancing

CLASS INFORMATION:

 

Type of Lessons

Date & Time of Class
How many people will be attending class(s) besides you (and your partner)?  
Do you need a email reminder few days before your class begins?  

DANCES YOU WOULD LIKE TO LEARN:

 

BALLROOM

 Please check:
 
Foxtrot  
Waltz  
Tango  
Quickstep  
V. Waltz  
All Ballroom Dances  

LATIN

 Please check:
 
Rumba  
Cha-Cha  
Samba  
Paso Double
Salsa / Mambo  
Jive  
Swing  
Merengue  
Hustle  
All Latin Dances  

QUESTIONS / COMMENTS

What kind of question would you like to send?

Complaint Problem Suggestion Praise

What about us do you want to comment on?

Other:

Enter your comments in the space provided below:

 
Please contact me as soon as possible regarding this matter.