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Dancer Input Form

Need a dance partner?  Fill out the form below.  We will  post only  your name, email address, highest dance level and your request.  We need the other stuff so that we can get in touch with you if your email address fails.

Subject:

Name:

Mandatory

Address:

City:

State:

Zip Code:

Email Address:

Mandatory

Telephone No.:

My highest dance level

            DBD PLUS     A1     A2     C1     C2     C3A     C3B     C4

Enter your request in the space provided below.  Indicate the dance(s) you would like to attend and the level you are willing to dance.  Also indicate if you are willing to dance either the beau or belle position.                     (A Mandatory field)

Enter the case sensitive content of the graphic into the form field on the right and then click Submit.