Registration for: Tandem CharlestonStarting Wednesday, May 9, 2018
First Name:
Last Name:
Street Address:
City:
State:
Zip:
Telephone:
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Role:Leader Follower
Please enclose $50 in the form of a check, payable to Groove Juice Swing.
Mail to: Groove Juice Swing 315 E. Henrietta Rd. Rochester, NY 14620