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FAQ
Class Questionnaire
* Required fields
Name *
E-mail Address *
Address
Cell Phone *
Home/Work Phone *
Emergence contact name *
Emergency contact number *
How many times do you go out during the month? *
1-5
6-10
11-15
16-20
more than 20
Sex *
Male
Female
Status *
Single
Married
What type of dancing do you like? *
Party Line Dancing
Social Line Dancing
Stepping
R&B/Hip Hop
House
What type of music do you like to listen to most? *
R&B
Rap/Hip Hop
House
Stepping
Line Dancing
Would you like to attend line dancing/stepping classes on Wednesday of the month? *
Yes
No
Purpose of line dancing *
Have Fun
Learn how to dance
Lose weight
Other
Would you like to travel monthly on trips to dance? *
Yes
No
Are you in good physical health? *
yes
no
Which line dances do you already know? *
Which line dances would you like to learn? *
Shirt size *
small
med
large
xlarge
2xl or larger
Which plan are you interested in most? *
$40 for 6 sessions paid in advance
$10 per session paid at the door
How did you hear about classes? *
word of mouth
radio
tv
flier
referral from class
walk-in
email
text
facebook
website
other
I have read and agree to the
Privacy Policy
*