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 Amount enclosed_____________
Riley Wimes Jr. 2557 W. Chicago Ave. Chicago, IL 60622 Click here for class descriptions
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