Full Name *

First Name

Last Name

Contact Number *

ex. 09456789012

(###)

###

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Classes *

REGULAR CLASSES Pre-registration - P250 Walk-in - P300

BLYTHZ | KILLIN' IT GIRL - J-HOPE | K-POP COVER

SUPA | OPEN-STYLE | BEGINNER

BLYTHZ | FEMME | INTERMEDIATE

PRINCE | OPEN-STYLE | INTERMEDIATE-ADVANCED

YEGA | AFRO | INTERMEDIATE-ADVANCED

MELVIN | OPEN-STYLE | ADVANCED

NICCOL | OPEN-STYLE | INTERMEDIATE-ADVANCED

IAN | DANCEHALL | INTERMEDIATE

Date of Class *

If you've chosen multiple classes, kindly indicate the date of the earliest class.

MM

DD

YYYY