National Rhythm CongressLecture & Private LessonRegistration Form To register for the lectures and request private lessons, please fill out the Registration Form below.Lessons requested below are not guaranteed until you receive confirmation from the organizers. All dancers who would like to book private lessons must attend at least one day of the National Rhythm Congress lectures. Your Name * First Name Last Name Your Email * Your Phone Number * (###) ### #### Your Partner's Name * First Name Last Name Your Partner's Email * Your Partner's Phone Number * (###) ### #### Dance Category * Pro/Am Couple Professional Couple Amateur Couple PT/JR/Y Couple Solo Pro/Am Dancer Solo Professional Dancer Solo Amateur Dancer Solo PT/JR/Y Dancer Which days would you and your partner like to attend the Congress? * Wednesday, January 22nd Thursday, January 23rd Wednesday & Thursday January 22nd - 23rd How many lessons would you like with Andre Paramonov on Wednesday, January 22nd? * 0 1 2 3 4 How many lessons would you like with Natalie Paramonov on Wednesday, January 22nd? * 0 1 2 3 4 How many lessons would you like with Emmanuel Pierre-Antoine on Wednesday, January 22nd? * 0 1 2 3 4 How many lessons would you like with Tony Dovolani on Wednesday, January 22nd? * 0 1 2 3 4 How many lessons would you like with Forrest Vance on Wednesday, January 22nd? * 0 1 2 3 4 How many lessons would you like with Sam Sodano on Wednesday, January 22nd? * 0 1 2 3 4 How many lessons would you like with Rufus Dustin on Wednesday, January 22nd? * 0 1 2 3 4 How many lessons would you like with Diana McDonald on Wednesday, January 22nd? * 0 1 2 3 4 How many lessons would you like with Aigars Stolcers on Wednesday, January 22nd? * 0 1 2 3 4 How many lessons would you like with Andre Paramonov on Thursday, January 23rd? * 0 1 2 3 4 How many lessons would you like with Emmanuel Pierre Antoine on Thursday, January 23rd? * 0 1 2 3 4 How many lessons would you like with Forrest Vance on Thursday, January 23rd? * 0 1 2 3 4 How many lessons would you like with Sam Sodano on Thursday, January 23rd? * 0 1 2 3 4 How many lessons would you like with Diana McDonald on Thursday, January 23rd? * 0 1 2 3 4 How many lessons would you like with Aigars Stolcers on Thursday, January 23rd? * 0 1 2 3 4 Please list any scheduling requests you may have. We will do our best to accommodate you! * Thank you!
