Registration Form Intro to Two-Step Dance Classes Name * First Name Last Name Phone (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Photo Consent * The Shane Lalani Center for the Arts takes photographs and video during some rehearsals and performances. We use these photos and videos for our website, publicity materials, grant applications, reports to granters and sponsors, and for archive. The Shane Lalani Center for the Arts has my permission to use, edit, and reuse photographs and videos of the student(s) named above to promote the Shane Center and its programs. I Consent Electronic Signature * Enter your name. Thank you! We’ll be in touch with program details.