Join the Winter Dance Club

Winter Dance 2022-23

Names:________________________________________________________________________



Summer: ________________________________________________________________________

                                        Street                                                                           City                                   State/Zip



Winter:  ________________________________________________________________________

                                        Street                                                                            City                                     State/Zip


Phone:_______________________________




Email: ________________________________


I am interested in a dance lesson prior to club dances.    Yes / No



  1. $75 Couple       ☐ $45 Individual       ☐ $90 Sustaining Membership

$45 Couple 17-30 yr. old      ☐ $25 17-30 yr. old Individual

To join:

• Print this page

• Complete form

  1. Make check to:

“Winter Dance Club”

  1. Mail form, check and copy of Proof of Vaccination.            

Mail to:

Winter Dance Club

Barbara Benson

508 East Lake Cowdry RD NW

Alexandria MN 56308

Email Winter Dance Club  winterdance@lakesideballroom.org

Dance Club Gift Certificate InformationGift_Certificate.htmlGift_Certificate.htmlGift_Certificate.htmlshapeimage_5_link_0shapeimage_5_link_1

Proof of vaccination is required for membership