Instructors, if you're not already listed OR you need to update your information, just complete this form. Please read the descriptions & instructions carefully.

 

DO NOT COMPLETE THIS FORM FOR SOMEONE ELSE. If you feel an instructor should be added, please tell them to complete this form or email us and we will contact them.

 

Your Information

 

 

First Name*

 

 

Last Name*

 

 

Registration

 

 

 

 

Studio + Affiliations

 

 

Status*

 

(studio means you are employed by and teach only at that studio, independent means you are an independent instructor who may teach anywhere)

 

 

Studio or Club

(studio or club where you teach exclusively, eg Fred Astaire, Arthur Murray, the Longbranch, Reds. if you can teach independently other places, leave this blank and complete the 'affiliations' below)

 

 

Affiliations

 

(other places you teach, clubs or organizations you're involved in)

 

 

Years teaching

years

 

 

Details

(short description of you, your services, partner, etc)

 

 

 

 

Contact Information

 

 

Main Phone

(if you are with a studio, please put that number here.

please include area code)

 

 

Mobile Phone

(not needed if employed by studio)

 

 

Fax

 

 

 

 

Website

http://

 

 

Email*

 

 

Address

 

 

City

   State     Zip

 

 

 

 

Dance + Services Info

 

 

Your specialty*

 

   Other:

(what you consider your main dance/style focus)

 

 

Do you compete ?