To enroll in the Ballroom Dance Teachers College Intensive Courses

Fill out and submit this form
Send your deposit to Diane Jarmolow's BDTC (instructions on Enrollment Information Page).

*Please note: to guarantee a high quality experience enrollment is limited to 6 students

Priority will be given to students who live more than 150 miles from Oakland, CA.

Dates: Please check all that apply: I am registering for the following Certification Intensive:
"HOW TO GET CERTIFIED" INTENSIVE - INTERNATIONAL STANDARD JUNIOR ASSOCIATE - January 14 - 18, 2008 - Emeryville, CA
"HOW TO GET CERTIFIED" INTENSIVE - JUNIOR ASSOCIATE CORE DANCE - January 28 - February 1, 2008 - Emeryville, CA
"HOW TO GET CERTIFIED" INTENSIVE - JUNIOR ASSOCIATE CORE DANCE - April 14 - 18, 2008 - Emeryville, CA
"HOW TO GET CERTIFIED" INTENSIVE - JUNIOR ASSOCIATE SMOOTH - June 8 - 13, 2008 - Las Vegas, NV

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Prerequisite

"How to Get Certified" Intensive - Jr. Associate Core Dances - I can (or will be able to before I arrive) dance the Leader's and Follower's parts of the DVIDA American Style Bronze Figures 1-7 in Rumba, Cha Cha, East Coast Swing, Foxtrot, Waltz and Tango.

"How to Get Certified" Intensive - International Standard Junior Associate- I can (or will be able to before I arrive) dance the Leader's and Follower's parts of the DVIDA International Style Bronze Figures:
- 1-10 of Waltz
- 1-7 of Tango
- 1-7 of Foxtrot
- 1-8 of Quickstep

Please tell us about your dance background. Please include how long you've been dancing, and what style(s) of dance you have studied.

Will teaching dance be a new career for you? If not, how long have you been teaching and what dances?

Do you already know part of or all of the DVIDA American Style Bronze Syllabus? DVIDA International Standard Syllabus?

What are your current dance goals? How will this Intensive support your goals?

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

Please send a non-refundable deposit.
- Get Certified International Standard Jr. Associate - $400 by Fri, Dec. 7, 2007
- Get Certified Jr. Associate Core Dance - $400 by Fri, Mar. 28, 2008

You will receive a call or email to confirm receipt of your enrollment form and deposit.

Payment in full is due:
December 21, 2007 for the Get Certified International Standard Junior Associate (January 14-18, 2008)
April 4, 2008 for the Get Certified Jr. Associate Core Dance (April 14-18, 2008)

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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