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The Spa City Bop and Swing Dance Club is a Non-Profit organization directed toward entertainment and fellowship of it’s members, dedicated to the preservation of Bop, Swing, and Jitterbug dancing.

DUES ARE $20.00 PER PERSON PER YEAR.

As a member you will receive our club newsletter and calendar, member fee admission to regular and specialty dances, and free dance lessons offered by the club.

Please fill out completely.

NAME _________________________________

BIRTH DATE M/Day ____ / ____

NAME_________________________________

BIRTH DATE M/Day ____ / ____

ADDRESS_______________________________________________

CITY_____________________ State__________ Zip___________

HOME PHONE (____) __________________

WORK PHONE   (____) __________________

CELL PHONE   (____) __________________

EMAIL__________________________________________BY

BY SUBMITTING THIS APPLICATION, I RELEASE THE SPA CITY BOP AND SWING DANCE CLUB FROM ANY AND ALL LIABILITIES. I ALSO UNDERSTAND THAT MY MEMBERSHIP CAN BE REVOKED FOR ACTIONS INAPPROPRIATE OR DETRIMENTAL TO THE CLUB OR ANY MEMBER.

SIGNATURE____________________________ DATE ____________

SIGNATURE____________________________DATE_____________

Please Make Checks Payable to: SPA CITY BOP AND SWING DANCE CLUB

Mail to: P.O. BOX 20637, HOT SPRINGS, AR  71903 - 0637

This application can be given to any Board Member for your convenience or you may mail the application to the above address. A membership card will be forwarded to you. For more information you may contact the Membership Director at 501-627-4424 or email to iam.bopcarol@yahoo.com