Class Registration Form

Please fill out the registration form completely and as accurately as possible.

Gender:    Male      Female

Reason(s) For Taking Class (Check all that apply)
Basic knowledge (understanding basic moves)
Exercise (weight management, weight loss, strengthening)
Social dancing (ability to lead/follow)
Competition level (ability to use technical skills to enter competitions)
Other (please specify)

Additional Information:
Dance Experience:    Yes      No

Please check other classes of interest to obtain additional information:
Mondays - "Beginner I/ Intermediate/Advanced" with Kevin Fitzhugh and Tammy Brown
Wednesdays - "Beginner II/ Intermediate/Advanced" with Tammy Brown
Thursdays - "Beginner I" with Tammy Brown
Saturdays "Ladies Only Styling" with Tammy Brown
Saturdays "Ladies and Gents Spins and Turns" with Tammy Brown
Private Lessons with Tammy Brown
Private Lessons with Kevin Fitzhugh

By submitting this form, I agree that all information entered was done accurately & truthfully and that I may be contacted by a Swing Fusion representative to confirm my registration.
I agree:

Contact Information

Tammy Brown

Cellphone: 443.271.9250

Kevin Fitzhugh

Telephone: 301.439.0748
Cellphone: 240.381.6324