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Sapphire Ballroom and Dance Center    
 

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Sam & Denise Miller

March 11, 12, & 13, 2011
Early Registration has ended, but we still have space. Please fill in the form below and join us this weekend!

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

Student Name(s):
Address:
City:
State:
Zip:
E-mail:
Daytime Phone:
Evening Phone:
Guardian Name & Contact:
(Required for Students under 18)
# Dancers   Amount
Friday,
7:00-8:30pm 		  Better Than a Movie
- $20/person, $35/couple 		$
Saturday,
11:00 am		   West Coast Swing - $16/person $
Saturday,
3:15-4:15 pm		   Argentine Tango - $16/person $
Sunday,
3:15-4:15 pm 		  Cha Cha - $16/person $
The Big Picture - $42
     - BTAM
     - Two of the Saturday/Sunday Workshops
     - Gimme a Break Dance Party (Saturday) 		$
   
   
TOTAL $
   
I am interested in taking semi-private lessons in the following style(s):
I am interested in taking private lessons.
   
  Registration Fees will be due at the door.
(To save time on the day of the workshop, fees can be paid in advance at the studio.)
Thank you for registering!
 
     
540-382-8782 - info@sapphiredance.com