Business Name

Instructor Name

Website or Class Signup Page

Do you offer classes in-person?

Yes

No

Information you provide will be different based on if you choose "Yes" or "No".

Address Line 1

Address Line 2

City/Town

State/Province

Country

Postal Code

Signup Link/Website

Class Level Beginner Intermediate Advanced All

How frequently do you host classes?

Check one:

On Demand

Virtual

Class Level Beginner Intermediate Advanced All Levels

How should Ann Clark contact you?

Main contact email

Main contact phone

How should students contact you?

Email

Phone

Instagram

Facebook

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