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First Name *

Last Name *

Phone *

Email *

Select Your Preferred Class Format *

Virtual Classes (Online)

(Select one or both)

What is your current level of dance experience? *

Beginner

Intermediate

Advanced

What are your primary goals or interest for joining? (Select all that apply) *

If other, please specify below:

Which styles of African dance are you most interested in learning? *(Select all that apply)

How would you prefer to join? *

Single class / drop-in

Monthly membership

Not sure yet

Do you plan to refer a friend or family member? *

Yes

No

Not yet, but maybe

Where did you find us? *

Social Media (IG/FB)

Ads

Email

Word of Mouth

Any questions or comments? *

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