Current Dancing For The Dream Bootscooter Dance Camps 2022
NOTE: Please enter the number of people you are registering for the specified seminar below.

Information: If your information is same as the credit card info, just give us your date of birth and how long you've been linedancing. This will save YOU time. Your registration or product order will not be processed without this information. Your info is secure and kept private and used only by our corporation. If you do not put how long you've been dancing, you will be entered as a new line dancer or "Starter". If you're ordering a Scooter Lee Product, we don't need the below information. Just click SUBMIT at the bottom of the page. If you are registering for a Line Dance Seminar, we need the information below due to our insurance. We are a 501c3 Nonprofit Charity      
                                                                                            
    Registration #1

 Registration #2

Name:    
          
Address:     

City:           State:    
         
Zip or Postal Code:     

Country:         
     
Telephone Number:       Date of Birth:  

How long have you line danced?       years    months     days

(Check all that apply  below)

Do you have:

  Lower Back Pain      Osteoarthritis       Arthritis         Diabetes

Take Medication for:

  Depression   High Blood Pressure    High Cholesterol     Diabetes

Have you had:

  Hip Replacement  Back Surgery Knee Replacement  Heart Surgery

 Registration #3

Name:    
          
Address:     

City:           State:    
         
Zip or Postal Code:      

Country:         
     
Telephone Number:       Date of Birth:  

How long have you line danced?       years    months     days

(Check all that apply  below)

Do you have:

  Lower Back Pain     Osteoarthritis       Arthritis     Diabetes  

Take Medication for:

  Depression    High Blood Pressure    High Cholesterol     Diabetes

Have you had:

  Hip Replacement  Back Surgery Knee Replacement  Heart Surgery

 Registration #4

Name:    
          
Address:     

City:           State:    
         
Zip or Postal Code:      

Country:         
     
Telephone Number:       Date of Birth:  

How long have you line danced?       years    months     days

(Check all that apply  below)

Do you have:

  Lower Back Pain      Osteoarthritis         Arthritis     Diabetes  

Take Medication for:

  Depression   High Blood Pressure    High Cholesterol    Diabetes

Have you had:

  Hip Replacement  Back Surgery Knee Replacement  Heart Surgery

A Confirmation Letter will be sent via US Mail to the address you've registered with; once your registration has been processed. This will be your ticket and your tax receipt. You must bring this confirmation with you the day or seminar. If there's a problem with your credit card, we will contact you via telephone and/or e-mail.

We are a National Nonprofit Senior Health Charity that uses Line Dance as it's chosen form of exercise. We hold the same
license as The American Heart Association, The Alzheimer's Foundation and The Arthritis Institute for Adults.
A 501(c)3 Georgia Registered Charity. Our Tax ID 57 115 5415

We're adding years to your life and life to your years!