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Registration Form
for Classes w/ Margot & Riley

(please print out form and mail to address below)

 

Full Name:_______________________________________________________

Street Address_________________________________________________

City___________________State___________________Zip____________

Telephone # Home_________________________Work_______________

Date of Birth____________________

Email address (print clearly) _____________________________________

Lindy Charm and Swinging Charisma: Footwork, Breaks, Style and Shine
(starts Thursday 5/2 ends 5/30)
____$50

Amount enclosed_____________


Mail Registration To:
Riley Wimes Jr.
2557 W. Chicago Ave.
Chicago, IL 60622


Click here for class descriptions

 

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