CHI-TOWN SQUARES

Spring Blast 2019

Registration Page

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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Email Address

Emergency Contact

First Name

Last Name

Emergency Contact Phone Number

(###)

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Saturday Lunch

Let us know of any food allergies or things

Chi-Town Squares is Chicago's LGBTQ* Modern Square Dance Club