First Name *

Last Name *

Email *

Phone *

I agree to receive text messages from the business Bachata Addiction Productions, LLC.

What level do you think you're at and what previous dance training do you have?

Dance Experience *

What would you love dancing to bring into your life? Tell us about your goals—confidence, social dancing, community, technique, performance, or simply having fun.

Dance Goals *

Want to connect with us? Share your Facebook or Instagram profile if you like. Both are optional.

FB Url

IG Handle

Which dance styles interest you? Select all that interest you. Zouk and Kizomba are also offered at our socials.

How did you hear about us?

If a person referred you, we would love to know their name.

Student profile photo (optional)

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We encourage Academy students to attach a profile photo to their contact card. * Only one photo upload is possible. To change it in the future, please message us by text.