Sapphire Ballroom and Dance Center    
 

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Please submit a separate form for each Student under 18. Partners are not required.

Please select one:

Beginner Workshop (Cheaper Than A Movie)
Upper Level Workshop

Student Name(s):
Address:
City:
State:
Zip:
E-mail:
Daytime Phone:
Evening Phone:
Guardian Name:
(Required for Students under 18)

Date(s) Attending:

 

List only the start date* if registering for the "Six Pack" Discount.

   
Registration Fees will be due at the door. Thank you for registering!
 
     
540-382-8782 - info@sapphiredance.com