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First Name:
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Country Dancing
Interest
 Country Two-Step 
 Country Triple-Step 
 Country Swing 
 Country Swing with Aerials 
 Line Dancing 
Age:
 18-20
 21-30
 31-50
 51+ 
Sex:
 Couple
 Solo Female
 Solo Male 
Lesson Type:
 Private Lessons
 Group Lessons
 Group Classes
 Not Interested in Lessons 
Country Bars you
dance at:
 Cowboy Lounge
 Stampede
 Grizzly Rose
 Toby Keith’s
 Electric Cowboy
 Sundance
 Cactus Canyon
 Copper Head Road
 Whiskey River