Name *

First Name

Last Name

Phone *

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I'm interested in: *

*Please note: Group Classes are open to active clients currently participating in private dance lessons.

FREE Introductory Lesson (Valid for ONE individual or ONE couple only. Not valid for Group Lessons. Cannot be combined with other promotional offers.)

Private Lessons (Individual or Couples)

Private Group Lessons

Private Dance Party

Group Class Reservation*

Workshop Registration

Wedding Dance

Rent The Space

Purchase Gift Card

Other (Please give brief description in box below.)

Start Date

Interested in starting your dance lessons on a specific date? Let us know and we'll do our best to accommodate you.

MM

DD

YYYY

Wedding/Event Date

Preparing for a wedding or special event? Let us know the date so we can help you plan your lessons at LUX accordingly.

MM

DD

YYYY