Instructor Registration

* Indicates Fields are mandatory
Please fill the below form to register your self as an Instructor with Dance Temp LLC
Full Name: *
Address: *
Region where you live: *
Email Address: *
Phone Number: *
Note: Upload(doc,pdf,docx)
Note: Upload(jpeg)
Dance Style(s) Taught: * NOTE: Please select each dance style only ONCE,i.e. it is assumed that if you teach Advanced you also teach Intermediate and Beginners.
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Transportation: *
Salary: *
Availability / Timings: *
Note:(i.e. Tuesdays 1-5 etc...)
Additional information you'd   
like us to know:  
Username: *
Password: *
Security Question: *
Security Answer: *