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Dances &
Goals
(Check all that apply)
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Last name
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AMERICAN STYLE RHYTHM
Rumba
Mambo
Cha Cha
East Coast Swing
Bolero
AMERICAN STYLE SMOOTH
Waltz
Tango
Foxtrot
Viennese Waltz
INTERNATIONAL LATIN
Rumba
Cha Cha
Jive
Paso Doble
Samba
INTERNATIONAL BALLROOM
Waltz
Tango
Foxtrot
Quickstep
Viennese Waltz
SOCIAL DANCES
Salsa
Sala on Two
Merengue
Bachata
Argentine Tango
Hustle
West Coast Swing
Hipster Swing
Night Club Two Step
Polka
Lindy Hop
COUNTRY WESTERN STYLE
East Coast Swing
West Coast Swing
Waltz
Country Two Step
Triple Country Two Step
Cha Cha
Other Dances
REASONS YOU WANT TO DANCE
Exercise
Personal hobby
Hobby with significant other
More fun from life
Make more friends
increase ease and assurance socially
Increase confidence
Creative outlook
Weight Reduction
Increase Popularity
Sense of achievement
Participate more socially
A challenge
Business Reason
Overcome tension
Stress relief
Get away form work and everyday challenges
Physical Therapy (Dance Therapy)
INTERESTS
Social Dancing
Competition
Dance Routines
Showcasing
Student Checkout
Teacher Certification
SHORT TERM GOAL ONE
SHORT TERM GOAL TWO
LONG TERM GOAL
1-10 HOW GOOD OF A DANCER DO YOU WANT TO BE?
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