subject_line
Thank you for your interest in Rhythmic Souls Tap Company! Please fill out the form to get started on your unlimited Technique Classes.
Parent First Name
*
Parent Last Name
*
I am a . . .
*
Parent
Email Address
*
Student's First Name
*
Student's Last Name
*
Register for
*
Unlimited Technique Tap Classes $125/Month
PROMO CODE?
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Referral Source
Choose your primary location for classes.
*
ONLINE LIVE CLASS
IN-PERSON CLASS (Coppell, TX)
I agree to have Rhythmic Souls Tap Company charge my card for unlimited technique classes. I understand that my subscription will be automatically renewed at the original price after 30 days unless the membership is cancelled by email to office@rhythmicsoulstapcompany.com. NO REFUNDS will be given after your card is charged.
*
Agree
I agree to be added to the Rhythmic Souls Tap Company mailing list. I understand that I can unsubscribe at any time.
*
Agree
Comments
Powered by