Salsa Dance Productions

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?

MONDAYS - Salsa fundamentals (Beginner) 6 class session @ $75.00 + tax
WEDNESDAYS - Salsa fundamentals (Beginner) 6 class session @ $75.00 + tax
Salsa Level 2 6 class session @ $75.00 + tax
Salsa Level 1 6 class session @ $75.00 + tax
Merengue fundamentals 3 class session @ $37.50 + tax
Bachata fundamentals 3 class session @ $37.50 + tax



**Please arrive 15 to 20 minutes early prior to the first class. We are not set up for credit cards, cheque or cash only. Payment is to be made at the first class.