(416) 81 SALSA

Use this form to register for classes! We will then contact you to confirm your space in the class.

If you are registering as a couple with two different addresses, please submit two separate forms.

You can also re-submit information if your address or phone number has changed:

If you need further information, please call (416) 81 SALSA or email pedro@dancingthrulife.com

Please complete the following information:
First Name*
Last Name*
Address - Number
Address - Street
Address - Apt
Address - City
Address - Postal Code
Home Phone*
Cell Phone
Business Phone
Email*
Occupation
Gender	Please Select One Male Female
How did you hear about Dancing Thru Life?   Internet   Flyer   Friend
(Friend's Name)
Enter the day you want to register for:
Level 1:	Not Interested In This Level Tuesday
Level 1.5:	Not Interested In This Level Tuesday
Level 2:	Not Interested In This Level Tuesday Wednesday
Level 3:	Unavailable

Full course fee is $81.00 + H.S.T., single lesson is $17.00 + H.S.T.  Payment of Cash or Cheque can be made on the first day of class, 15 to 30 minutes prior to class start time.