To enroll in the Bronze American Style Teacher Training Class

Fill out and submit this form.
Send your non-refundable $100 deposit to Diane Jarmolow's BDTC (follow instructions on Enrollment Information Page).

Rhythm II - Cheryl Burke Dance, San Francisco, CA
Smooth - Allegro Ballroom, Emeryville, CA

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Please tell me about your dance background, if any.

What is your main purpose in taking this course?

Are you interested in pursuing a career as a ballroom dance teacher? If so, why?

Please provide any additional information you think I should know about you.

Please send a non-refundable $100 deposit.
You will receive a call or email to confirm receipt of your enrollment form and deposit.

Payment in full is due NO LATER THAN THE FIRST DAY OF CLASS.

Please check one of the following:

I have sent my credit card payment via www.PayPal.com, payable to "diane@teachballroomdancing.com".
I will call (510) 336-9426 to make my payment by credit card.
I have sent a check or money order, payable to "BDTC", to:

Diane Jarmolow's BDTC
6008 Ridgemont Drive
Oakland, CA 94619

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