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Welcome
About Us
Announcements
Facebook
Calendar
Beginner Swing,
Lindy Hop &
Balboa
Classes
Hip Hop
Classes
Uptown Swing
Dance
International
Workshop Series
Beantown
Lindy Hop
Camp
Northeast
Lindy Hop
Championships
Performances
Shop
Video/Photo
Mailing List
Payment
Directions
Links
Acknowledgements
Site Map
Search
Contact Us

Hip Hop Providence Class Registration Form

Step 1: Submit Registration Information
Please complete and submit the following form which provides your registration information and classes you wish to take. Use a separate form for each person. A registration is not complete and a place is not secured until payment is also received. It is still helpful, and will speed your check-in, to submit a form even if you will be paying at the first class. If you change your contact information (email/telephone/etc.) after registering, please use our on-line mailing list form to notify us of the updates or contact us directly with the information.
 
Step 2: Make Payment

Hip Hop Providence Class Registration Form
Name
use separate submission for each person
Email Address
if you do not have email be sure to provide a phone number below
Telephone (day)
eg: 508-555-1234x56
(evening)
eg: 508-555-1234
(cell/mobile)
eg: 508-555-1234
Providence
Thursday Classes
Regular Schedule (3 week sessions)
May Session (7:15-8:30pm, Thu, May 8, 15, 22, 2008)
June Session (7:15-8:30pm, Thu, Jun 5, 12, 19, 2008)
Summer Schedule: (separate classes)
July 24 (7:15-8:30pm, Thu, Jul 24, 2008)
July 31 (7:15-8:30pm, Thu,  Jul 31, 2008)
August 7 (7:15-8:30pm, Thu,  Aug 7, 2008)
August 14 (7:15-8:30pm, Thu, Aug 14, 2008)
August 21 (7:15-8:30pm, Thu,  Aug 21, 2008)
Regular Schedule (3 week sessions)
September/October Session (7:15-8:30pm, Thu, Sep 18, 25, Oct 2, 2008)
October Session (7:15-8:30pm, Thu, Oct tba, 2008)
Cost per person
Any one Regular Session (each session covers 3 weeks of lessons)   $40
July/August 2008 Session (single class)   $15
July/August 2008 Summer Session (all 5 classes)   $65
Total Amount
$
Status
New
If you are not already on our mailing list complete this section.
Already On Mailing List
If your full address is already on our mailing list skip this section.
Change Of Address
If your address has changed complete this section.
Same Address As
If same address as another person already registered, just note their name in the Comments section below and skip this section.
 
extra line for address, leave blank if not needed
Street
Town
State ZIP
Where you heard of us
Gender
Male
Female
Interests
Hip Hop & Lindy Hop/Swing
What is Lindy Hop and Swing partner dancing?
Hip Hop only
Comments
Verification Code 2194
Please enter the verification code as it is shown above (used to help prevent SPAM submissions).
Submit Registration Information Clear Form
 
 

Welcome | About Us | Announcements | Facebook | Calendar | Beginner Swing, Lindy Hop & Balboa Classes | Hip Hop Classes | Uptown Swing Dance | International Workshop Series | Beantown Lindy Hop Camp | Northeast Lindy Hop Championships | Performances | Shop | Video/Photo | Mailing List | Payment | Directions | Links | Acknowledgements | Site Map | Search | Contact Us

Last Modified Friday, May 30, 2008 2:32 PM
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