Registration

Welcome friends and students (current or future) of Studio B Dance. Please sign up for an account here that will give you access exclusive information and features not available to the regular public.

Please be assured that all your info is kept in the strictest confidence and it will never be shared with anyone outside management and staff of Studio B Dance without a lawful court order. Only management and staff with legitimate business need will access this data.

Once you fill out this form you will receive an automated confirmation email. This email will contain your username and password. Please log into your account in the next 30 days to activate and confirm your account. Otherwise your registration may be deleted.

Please do not put any links, URL's etc., as that will cause your registration to be flagged as spam and not saved. The same goes for required fields that don't have valid information. We log the IP address of everyone who gets flagged as spam

Name:

Required

Mailing Address

Street:

Street2:

City:

State:

Zip:

Country:

Home Phone Number:

Cell Phone Number:

Email address:

Required

Birthdate:

Wedding Anniversary:

Gender:

Male Female Required

Any Health Issues that could affect dancing?:

How did you find out about Studio B Dance?:

Dance Styles of Interest (check all that apply):

Country 2-Step	Country Swing (4-Count)	Western Waltz
Line Dancing	Hustle	Nightclub 2-Step
Ballroom Waltz	American Tango	Foxtrot
Polka	Country Round Dancing	Salsa
West Coast Swing	East Coast Swing (Triple Step)	Jitterbug (Single Step)
Lindy Hop	Quickstep	Rumba
Cha-Cha	Merengue	Triple 2-Step
Samba	Bachata	Bolero
Mambo	Smooth Triple 2-Step	Other

By clicking the submit button below I acknowledge that I agree to waive and release all right and claims that might be had against Jeannette Baker and Studio B Dance, its hired or contracted instructors and any other person(s) for any and all injuries or losses suffered because of my participation in the activities offered by Jeannette Baker and/or Studio B Dance.