Online Registration Form "*" indicates required fields Urban Swing Dance Institute (USDI) L3C Online Registration Form By signing this form, you consent and agree to receive class related information via text and email, and pay for the course, in full, in advance, at the payment cycle(s) below. (You will not be able to participate in classes until payment is received. No exceptions. No refunds.) The birthday information is requested to recognize and honor your special day with other students who share the same birth month. You also agree to be respectful and mindful of all instructors and students and follow all rules and instructions. Dance classes, like any other form of instruction, require commitment, self-discipline, practice, and participation for success. It is a process and a journey. We want everyone to enjoy the experience and have fun, but keep in mind our primary goal is to learn how to dance. We provide the knowledge and skills in the classroom. This is where the work is done. (You do not learn how to dance in the classroom.) The dance floor is the lab. This is where you apply and develop the knowledge and skills from class. It is where we have fun. (This is why it is important that you participate in as many out of class dance opportunities as possible.) Please be patient. Don’t worry about making mistakes or messing up. (Many moves are discovered or created from mistakes.) This is how we learn. No one gets it right on the first try. This is a social dance class. It is not a competitive or professional dance class. No pressure. No worries. Enjoy the process and the journey. Looking forward to meeting you in class!!! Print Name* First Middle Last Address* Street Address City State / Province / Region ZIP / Postal Code Mobile Number*Home NumberFax Email* Birthday* MM slash DD slash YYYY Experience Level* None Beginner Other Payment VENMO https://venmo.com/$Oswald Cooper CashApp https://cash.app/login@$OswaldCooper ZELLE https://www.zellepay.com/ [email protected] Payment Cycle* Full ( $240 ) Half ( $120) Monthly ( $60 ) Date* MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.