If you have more than one dance location, please fill out the information in the top section of a second form for that location.

  Required Fields

To:

Webmaster@WeSquareDance.com

Your Name:

Club Name:

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):

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")

Time of Workshop if Before Dance:

Round Dance Cuer(s):  (If None, leave blank, or enter "Guest")

Time of Rounds if Before Dance:

Line Dance Cuer(s):  (If None, leave blank, or enter "Guest")

Time of Lines if Before Dance:

Club Scheduled Dances
(This form contains spaces for 30 dances.  If your club has more than 30 dances per year, fill out a second form with the additional dances)