Lykes to Dance Class/Workshop Registration Form

Registration can be done either by mail or by calling Lykes to Dance You may register for as many classes as you like, keeping in mind that some sessions fill up earlier than others. Please take any prerequisites into consideration.

To register by mail, print out and complete this form and mail it along with your check, or money order to:

Lykes to Dance
1531 N 122nd St Seattle
Seattle, WA 98115
Please make your check or money order payable to Lykes to Dance
You will NOT receive a confirmation notice - you will be notified only if the class is full at which time either a refund or a credit toward a future class will be issued.
Your information: Name:________________________
Address1:____________________
Address2:____________________
City:_______________ State:__
Zip Code:____________________
Daytime Phone:_______________
Evening Phone:_______________
Email:_______________________
Lead:______ or Follow:_______
Add to mailing list?_________
 Also please register: Name:________________________
Address1:____________________
Address2:____________________
City:_______________ State:__
Zip Code:____________________
Daytime Phone:_______________
Evening Phone:_______________
Email:_______________________
Lead:______ or Follow:_______
Add to mailing list?_________
What classes/workshops do you wish to
be registered for? (please include date
of workshop or first class)
Name of class/workshop: Date: Cost: _______________________ _____ _____
_______________________ _____ _____
_______________________ _____ _____
_______________________ _____ _____
_______________________ _____ _____
_______________________ _____ _____
 
-----------------------total: _____

 What classes/workshops do you wish to
be registered for? (please include date
of workshop or first class)
Name of class/workshop: Date: Cost: _______________________ _____ _____
_______________________ _____ _____
_______________________ _____ _____
_______________________ _____ _____
_______________________ _____ _____
_______________________ _____ _____
 
-----------------------total: _____

Person A total: ______
Person B total: ______
  Total amount: ______

Pay by:
__Check __Money order - Check #______
Check or Money order amount:_________