Wednesday, May 29, 2013

Enlight Ballroom Summer Class Registration Form


Course Name          Age      Description                  Day Time Start Date  Class Fee
Yth/JR Latin         13-25    Latin Technique Class          MWF    11-1pm June 24          $120
Yth/JR Ballroom 13-25    Ballroom Technique Class T/Th        11-1pm June 25          $90
PT Latin/Ballroom  9-12    Combined Tech Class    T/Th        1-3pm June 25          $90
PW Latin/Ballroom 4-8      Combined Tech Class         M/W       1-2pm June 24          $50
Adult Social          Any      Social Dance for adults F        7-8pm June 28          $50

Classes are held at the Enlight Ballroom Studio @ 1352 Legrand Street, Logan, UT

Classes will be held for six weeks and payment/enrollment can be split into two payments. Also all students taking this summer are invited to join us in performing at the USU July 3 Firework show at the football stadium.

Mailing Address: Phone Number:
Enlight Ballroom (435) 757-4049
1352 Legrand St Web Site:
Logan, UT 84321 http://enlightballroom.com
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Please cut along line and turn in bottom portion only

Student's Name  _________________________________Birth Date_________________

Student Email  ____________________________Student Cell:______________________

Parent(s) Name(s)  ________________________________________________

Parent Email  __________________________________________________________

Parent interested in Booster Club info Yes  (  )  No  (  )

Mailing Address  __________________________________________________

City  __________________________   State  ________   Zip  ______________

Home Phone (        ) ______________           Parent Cell (         ) _________________
Emergency Name  ____________________   Relationship  _______________
Address  _____________________________   Phone  (          ) ___________

Student Questionnaire
What are your Ballroom Dance goals?

How many hours are you willing to dance a week?

Why do you want to dance?

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