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Salsa Course Registration

No enrollment deadline. (Enrollments accepted until course fills (1st come, 1st served in order of payment dates).
  1. Complete and submit this Salsa Registration Form below.
  2. Speak to Susana 604/602-1831 to pay with credit card OR click below to have fee charged to a previously used card OR send eTransfer to
  3. When payment in full is received, your place will be reserved and you will be emailed a course receipt.
Salsa Registration Form
Full name
 Ms.  Mr.  First  Last
Email address
Phone number
Day  Night
Postal code

                  (click one)
I first found out about Susana
Domingues Dance School through:
Word of Mouth
Google Search listing
Yahoo Search result
                         (click) Register me for Beginner Salsa:
10 Wednesdays 7:00-8:25 pm, Mar15-May17/17

    (must click this box) I agree to the following:
      * No refunds, credits or deferrals for withdrawals or
        missed classes.
      * Course enrollments are non-transferable.
      * I agree to sign a waiver of release.
      * Everyone, no exceptions, switches partners at class.
                  (click one) Payment Method:
please charge the fee to the same
        credit card used for my last course
I will eTransfer the funds to Susana Domingues
I will call with credit card payment
NO EMAIL ADDRESS?   Print and complete this form. Sign beside "Submit Registration". Send to postal address above.

QUESTIONS?   refer to FAQ page or email: