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The Spa City Bop and Swing Dance Club is a Non-Profit organization directed toward entertainment and fellowship of it’s members, dedicated to the preservation of Bop, Swing, and Jitterbug dancing.
DUES ARE $20.00 PER PERSON PER YEAR.
As a member you will receive our club newsletter and calendar, which can be obtained from our website spacitydanceclub.com , or e-mailed to you, or can be picked up at the front desk at our next dance, member fee admission to regular and specialty dances, and dance lessons will be offered by the club prior to regularly schedule Friday night dances.
Please fill out completely.
NAME _________________________________
BIRTH DATE M/Day ____ / ____
NAME_________________________________
BIRTH DATE M/Day ____ / ____
ADDRESS_______________________________________________
CITY_____________________ State__________ Zip___________
HOME PHONE (____) __________________
WORK PHONE (____) __________________
CELL PHONE (____) __________________
EMAIL__________________________________________BY
BY SUBMITTING THIS APPLICATION, I RELEASE THE SPA CITY BOP AND SWING DANCE CLUB FROM ANY AND ALL LIABILITIES. I ALSO UNDERSTAND THAT MY MEMBERSHIP CAN BE REVOKED FOR ACTIONS INAPPROPRIATE OR DETRIMENTAL TO THE CLUB OR ANY MEMBER.
SIGNATURE____________________________ DATE ____________
SIGNATURE____________________________DATE_____________
Please Make Checks Payable to: SPA CITY BOP AND SWING DANCE CLUB
Mail to: P.O. BOX 4309, HOT SPRINGS, AR 71914 - 4309
This application can be given to any Board Member for your convenience or you may mail the application to the above address. A membership card will be forwarded to you. For more information you may contact the Membership Director at 501-318-1373 or email to bterauchi@hotmail.com
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