TaToSalsa Registration & Liability Waiver Form 2

TaToSalsa Registration & Liability Waiver
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How Did You Hear About Us?
SalsaSalsa On2 MamboBachataPrivate LessonOther
Please be advised that neither Juan “TaTo” Paredes, TaToSalsa Inc, nor its associates are liable for any personal injury and/or loss or damage of personal property. Dance is a physical activity in which injuries may occur. The person (or guardian of a child) taking a dance class is responsible to inform the instructor of any physical limitations which may prevent full participation and is also responsible to decline from any dance activity that may be hazardous. Juan “TaTo” Paredes and/or TaToSalsa Inc has the right, in its sole discretion and without any obligation, to refuse service to any participant. Please sign below after reading the disclaimer:
Signature*

Powered by Jotform SignClear
FOR BEGINNER LEVELS ONLY *** If you have already paid for the class, you are all set, just hit the 'SUBMIT' button below.

If you have NOT purchased the course, please choose the desire course and make payment.

Please take a look at our monthly CALENDAR for upcoming courses and class schedule.

See you in class!
My Products
prevnext( X )
6 Weeks Beginner Salsa Course$55.00
TaToSalsa Beginner Salsa Course

Quantity

6 Weeks Beginner Salsa On2 Course$55.00
TaToSalsa Salsa On2 Beginner Course

Quantity

6 Weeks Beginner Bachata Course$55.00
TaToSalsa Bachata Beginner Course

Quantity

Subtotal $0.00Tax $0.00Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty: