Salsa Dance Registration Form
Please fill in the form below. You do not need to pay online.
Full Name
*
First Name
Last Name
Gender
*
Female
Male
Other
Mobile Number:
*
E-mail:
*
Enrolling as:
Single
Couple
I would like to enroll for:
*
Morning Batch: 7:30-8:30AM
Evening 6-7PM
Evening Batch: 7-8PM
WEEKEND BATCH - Saturday Only (12:30 - 2:30 PM)
Please verify that you are human
*
Submit Application
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