B&C Jive - South Wales Jive
Membership Application
 
Name
 :
House Name/No
 :
Street
 :
Postal Town
 :
County
 :
Postal Code
 :
Telephone number
 :
Mobile number
 :
Email address
 :
Have you had any previous Dance Tuition?
If so what was it for?
 
Would you be interested in learning Lindy-Hop if we started classes to teach it?
 

Please Print this form and hand it to us at your next Class session or Dance
with your membership payment of £20.00, Thank you. B&C Jive