Dance Easy Registration Form
Name(s)____________________________________________
Address____________________________________________
City, State, Zip_______________________________________
Phone we can reach you at_____________________________
Email______________________________________________
Please specify which class or which special you are registering for and the number of
people______________________________________________:______________
__________________________________________________________________
Forms of payment: Cash, Check, Visa, Mastercard
Make checks out to "Dance Easy."
Your Credit Card Statement will show payment to "Dance Easy."
For credit/debit cards: Card #_______________________________ Exp. Date______
Name as it appears on the card_________________________________________
Cardholder's signature________________________________________________
Delivering Your Registration Form
Mail your completed form and payment to:
Dance Easy
2132 County Road F
Barneveld, WI 53507
Or, fax your completed form and credit card information to 608-437-4908 (local for Madison)
Or, register by phone with a credit card by calling 608-270-1550 and reading the necessary information from the registration form. The voice mail is secure.
**Please remember our cancellation and reschedule policies. 24 hours notice is required to cancel or reschedule your private lesson for any reason. A make up lesson is usually scheduled in addition to your regular lesson. There are no credits or make ups for missed group lessons. Our Specials are already deeply discounted. There are no refunds for unused packages or gift certificates. All package lessons or gift certificates may be transferred to another person.