Couples Form Name * First Name Last Name Name * First Name Last Name Phone * (###) ### #### Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Is this the location of the lessons? * Yes No Please give the address of the lessons if different to your home address. Where should the teacher park? * Ages * First Name Last Name Any injuries or medical problems we should know about? * Briefly describe your dance experience * Wedding Date * MM DD YYYY First dance song (title & singer/group- if mash up please name all songs * If you have any messages or ideas to share, please mention them here. Have you read and agree to the A2B Wedding terms and conditions? Yes No Have you read and agree to our General Data Protection Regulations (GDPR) Policy? Yes No Thank you!