Latin Dance Class Registration Form

NOTE: Confirmation of registration will be e-mailed to you within 24 to 48 hours of submitting the registration form. Please submit two separate forms if registering as a couple.

First Name:*

Last Name:*

Address:

City:

Postal Code:

Home Phone:

Cell Phone:

Email Address:* (you will receive an email confirmation to this address)


Which Latin dance classes would you like to register for?*
 Salsa Level 1 (Beginner Fundamentals) - 5 class session @ $67.50 + tax 6:30pm Salsa Level 2 (Intermediate) - 5 class session @ $67.50 + tax 7:30pm Salsa Level 3 (Advanced) - 5 class session @ $67.50 + tax 8:30pm