Registration

You have been reserved a spot in this pricing tier. Time left:

Your spot has been reserved for the next 5 minutes. Please fill out and submit this form before the time is up to ensure your spot in this pricing tier!

First Name: First Name is required.

Last Name: Last Name is required.

Preferred Dance Role for this workshop:

Street Address:

City:

State/Province:

Zip/Postal Code:

Telephone:

Email: Email is required. Improperly formed address.

Optional Code:

Item Name	Price	Totals
All-In Pass (evening dance included)	$90.00	$90.00
Workshops Only Pass	$75.00
Amount to be paid:		$90.00

Pressing [Submit] below will submit your request for registration. After submitting the form, you will be directed to PayPal where you can make a payment and complete the registration process. Currently PayPal is the only method available for students to pay for online registration.

By pressing [Submit], you agree that the above information is correct. You agree to pay, via Paypal, the amount above to Groove Juice Swing to be enrolled at Flower City Lindy Classic Workshops ft. Chisomo Selemani 2026. You agree to the waiver below.

Waiver of liability

I hereby waive any and all liability claims against Groove Juice Swing, its Board of Directors, their agents and instructors or their agents for any and all injuries which I might suffer during, and/or as a result of, my participation in the Flower City Lindy Classic Workshops ft. Chisomo Selemani 2026 event and dances, Saturday, October 10, 2026 through Saturday, October 10, 2026 in Rochester, NY and its surrounding areas and parking lots.

I also assume all responsibility and liability for any injuries I might suffer, or cause, during, and/or as a result of my participation in Flower City Lindy Classic Workshops ft. Chisomo Selemani 2026 event and dances, Saturday, October 10, 2026 through Saturday, October 10, 2026 in Rochester, NY and its surrounding areas and parking lots.

Furthermore, I absolve Groove Juice Swing, its Board of Directors, their agents of any and all responsibility for future injuries I might suffer or cause as a result of my participation in Flower City Lindy Classic Workshops ft. Chisomo Selemani 2026 event and dances, Saturday, October 10, 2026 through Saturday, October 10, 2026 in Rochester, NY and its surrounding areas and parking lots.

I understand that Flower City Lindy Classic Workshops ft. Chisomo Selemani 2026 event is a drug free environment, and that smoking will be permitted only outside the buildings during the event, subject to the policies of the hosting facilities.

By executing this waiver, I state that I am in good physical and mental health and know of no reason why I should be unable to fully participate in this activity.