Blue Ridge Mountain Cloggers

Request form for E-Mail News

Delete the text in the boxes below and replace with your own personal information.  If dancer does not have a separate email address please enter "none"

Dancer's Name                       

Dancer's E-Mail Address:      

Parent or Guardian's Name:   

Parent or Guardian' email:      

Please check the teams that you or your child participates with.  If not on a team please list the class time and date in the box below. 

Beginners younger than 10
Beginners 10 -15
Elementary Competition team
  Advanced Competition Team
Beginner Adults / Mountain Laurel  
  Mountain Rhythm - Adults
Other Teams or Dances THURSDAY
BRMC Show Adults
Special Classes - Clogging Club: July 6 - Aug 10  


Other classes or times that you participate with BRMC: