~Weniki's Members' Area: Sign-Up~

So you wanna be a member of my new dance club?!? That makes me sooooo happy!!! There is a special members area where you have to have the username and password you picked out. Just fill out the form below and I will send you a little email with some info about the club. Keep dancing!!!




The Form:

First Name:

Email Address:

Age:

Birthday:

Country:

Choose A Username:

Choose A Password:

Do you have a web site?
Yes
No
If yes, what's your URL:

Are you a dancer?
Yes
No

What types of dance do you do?