Club Information Update
If you have more than one dance location, please fill out the Required Fields of a second form for that location.
Required Fields
To:
Webmaster@WeSquareDance.com
Your Name:
Your Phone:
Your E-Mail:
Club Name:
Club Website - If you know it:
District:
Dance Location Name:
Dance Location Address:
Additional Location Information If Necessary:
Dance Location City:
Dance Location State:
ZIP:
Caller Name(s): (If None, leave blank, or enter "Guest")
Round Dance Cuer(s): (If None, leave blank, or enter "Guest")
Line Dance Cuer(s): (If None, leave blank, or enter "Guest")
Dance Time:
Dance Day: Day of Month (Ex. 1st Friday, 3rd Wednesday):
Dance Level: (Basic, M/S, Plus, Advance, Rounds Phase II - IV, Lines, etc. - List All That Apply):
Contact Name:
Contact Phone:
Contact E-Mail:
Alternate Contact Name:
Alternate Contact Phone:
Alternate Contact E-Mail:
Local, State, & National Federations, Associations, or Groups Your Club is Associated With:
Additional Information:
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Updated 9/28/15