Join the Summer Dance Club

Application for Membership to the 2012 Summer Lakeside Dance Club

Names:________________________________________________________________________



Summer:________________________________________________________________________

                                                Street                                                                           City                                   State/Zip



Winter: ________________________________________________________________________

                                                Street                                                                            City                                     State/Zip



Phone:_______________________________




Email: ________________________________


☐ $95 Couple

  1. ☐$50 Single

  2. ☐$50 Couple 16-25 years old

Mail to:

Lakeside Dance Club

Jerry & Jeanne Miller

664 Nemec Estates Rd SW

Alexandria, MN 56308

Member punch cards will be available at the first summer dance.

      To join:

• Print this page

• Complete form

• Make check to: “Lakeside Dance Club”

• Mail form & check:

Jerry & Jeanne Miller

664 Nemec Estates Rd SW

Alexandria, MN 56308

Email the Summer Dance Club danceclub@lakesideballroom.org

Winter Dance Club InformationJoin_Winter.htmlJoin_Winter.htmlWinter.htmlshapeimage_5_link_0shapeimage_5_link_1
Dance Club Gift Certificate InformationGift_Certificate.htmlGift_Certificate.htmlGift_Certificate.htmlshapeimage_6_link_0shapeimage_6_link_1

2012 Schedule to Be Announced