Dance to Live Studio

Registration Form

Please note that filling out this form does NOT guarantee a spot in your course of choice. Many of our courses FILL up rather quickly and our maximum amount is approximately 30 students per course. Although not all of our courses reach this max, those that do have waiting lists to get into these courses. We therefore function on a "first pay, first serve" basis. To avoid being put on a waiting list, and to reserve your spot you must pre-pay for your course.

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Are you currently enrolled in a Dance to Live program?

If "No", how much experience have you had dancing Salsa?

In which program do you wish to enrol?	TERM 1

	TERM 2

First Name:
Last Name:
Email Address:
Home Telephone #:	-
Business Telephone #:	- Ext.
Street #:
Street Name:
Apt. #:
City:
Postal Code:
Your message: