Join/Donate | Ballroom Dance Preservation Society

MEMBER APPLICATION (One per person)

Please fill in all necessary information, put your full name in the signature box and click the submit button. This will send the form to us. After submitting the form, come back to this page and click the Add to Cart under Member Dues button to pay the Membership Dues for 1 or 2 people. Any additional contributions can be made under Donate and would be greatly appreciated. If you prefer to pay by mail, please make check out to BDPS and mail check to Ballroom Dance Preservation Society, 100 Grier Crossing Drive, Conway, SC 29526.

MEMBER APPLICATION

Ballroom Dance Preservation Society, 100 Grier Crossing Drive, Conway, SC 29526

Name *

First

Last

Birthday (Month/Day)

Street Address

City

State

Zip

Email *

Phone Number

WE ARE A NON-PROFIT, VOLUNTEER ORGANIZATION, How would you like to help?

I'm interested in doing dance demonstrations
I can help with event set-up and cleanup
I am interested in performance groups
I am interested in community outreach
I can help with food teams
Other (fill in below)

Other

MEMBERSHIP COSTS *

Annual Membership (One year from signup) per person $50.00

We are a 501(c)(3), a portion of your membership dues and all of your contribution is tax deductible.

I understand and agree to these conditions for participation in Ballroom Dance Preservation Society (BDPS) : Dance is a physical activity that includes close physical contact with other participants. Like all physical activities, dance carries some degree of risk. By clicking I agree below, you are acknowledging that an inherent risk of exposure to COVID-19 exists in any public place where people are present. By attending the dance or classes, you voluntarily assume all risks related to exposure to COVID-19 and agree not to hold BDPS, its officers or volunteers liable for any illness or injury or for any loss, damage, or theft of articles from event facilities during events. I hereby give my permission to the Ballroom Dance Preservation Society (BDPS) to use my photos on the website, in advertising, and/or emails to further promote the BDPS and its mission. *

I agree

Signature *

Printing your name will act as your signature

Date

Name