April 2026 New Beginner Enrollments

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Full Name* This field is required.
First Name
Last Name
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Please take or upload a picture of yourself (this photo will be placed as your student account photo). Please be sure the photo is ONLY of your entire face, not a full body photo.* This field is required.
3
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
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Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
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Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
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Central African Republic
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Chile
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Christmas Island
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Democratic Republic of the Congo
Denmark
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Eritrea
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Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
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The Gambia
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Martinique
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Mayotte
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Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Trinidad and Tobago
Tristan da Cunha
Tunisia
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Isle of Man
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Western Sahara
Yemen
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Other
Country
4
Gender:* This field is required.
Please Select
Please Select
Female
Male
Prefer Not To Say
5
Are you interested in taking other types of classes? (Please select all that apply)* This field is required.
None I'm Not Interested in anything other than Salsa
Bachata
Cha Cha Cha
Fitness Classes (Yoga/Zumba)
I'm interested in other classes but its not listed here
6
Phone Number* This field is required.
7
E-mail* This field is required.
example@example.com
8
When is your birthday?* This field is required.
MM/DD/YYYY
Month
Day
Year
9
Which Beginner Level Class are you registering for?:* This field is required.
LEVEL 1 (Friday’s at 6:30p)
LEVEL 2 (Friday’s at 7:30p)
LEVEL 3 (Friday’s at 8:30p)
10
BEGINNER PACKAGE AVAILABLE* This field is required.
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Quantity:1
Size:Small
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ORDER SUMMARY
Total costUSD
Level 1 Beginner (Level 1 ONLY) (1 Month)
This is for Beginner Level 1 Partner Work Class at 6:30p Only. CANNOT be used for Level 2 or Level. 3 Classes.This package is for a singular Month, once started your package is considered active and cannot be transferred to any other month.All Classes/ packages are non-refundable and non-transferable.
$93Edit
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Level 2 or 3 Beginner (Level 2, or 3) (1 Month)
Beginner Classes are held on Friday evenings. Level 2 at 7:30p and Level 3 at 8:30p. This package expires after one month, once started your package cannot be transferred over. All Classes/ packages are non-refundable and non-transferable.
$104Edit
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Quantity
Total cost $0.00
Payment Methods
Credit Card
First Name
Last Name
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
11
How did you hear about us?* This field is required.
Please Select
Please Select
Internet Search (Google, Bing, etc)
Friend/ Family
Instagram
Facebook
TikTok
Other (Please specify below...)
12
If a friend or family member referred you, please list their name(s) here and let us know who to thank:* This field is required.
Please list the FIRST & LAST name of the person who referred you.
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