Ben's Dance Studio
Contact
Pricing
Courses
Specials
About
Home
Register
Please fill in the form below so that we can get a hold of you.
Your Name:
Your Email:
Your Cell Number:
Which course are you interested in?
Select...
BallroomLatin
Teen
Line
Private
Dancing
Please select this if you don't have a partner?
If you don't mind we just need this information to place you in the best possible group, thanks.
Gender:
Select...
Male
Female
Age group:
Select...
8to12
12to17
17to25
25to35
35to45
45to55
55to65
65up
Have you completed a course with Ben before?
Select...
Yes
No
How did you find out about us?
Do you have any questions or comments?