The Kansas City Lindy Hop Society

. . . Special Request Form

Use this form to let us know how we can help you or your organization by providing:
  • Dance instruction/lessons.
  • Lectures on Lindy Hop and other forms of vintage swing dancing.
  • Lindy Hop and vintage dance demonstrations.
  • Music and dance performance.

Name:
Company:
Phone:
Fax:
email:
Address:
City:
State/Zip:
   

How may we help you? (Check all that apply)
Dance Instruction/Lessons
Lecture
Demonstration
Performance

Who will be sponsoring this event?
Individual
Privately Held Business
Corporation
Educational Organization
Social Organization
Healthcare Organization
Other
A brief description of your request: