Salsambada - The Home of Salsa in Canberra

ZUMBA REGISTRATION FORM

Fill out the form to register for a Zumba Course:

First Name (*Required)

Last Name (*Required)

Sex (*Required)

Street Address

Suburb (*Required)

Postcode

Email (*Required)

Mobile (*At least one phone number is required for contact, but we prefer sms.)

Home Phone

Work Phone

Occupation

How did you find out about Salsambada? (If a friend, please say who)

DISCLAIMER:
Salsambada takes your privacy seriously and will not disclose any of your personal details to any other party or person. The personal information collected in this form is used strictly by Salsambada to contact you in regards to dancing. Notification of cancellations or changes to classes will be sent via sms (or by phone call if a mobile number has not been provided) to you while you are an active student only, and your email address will be added to our mailing list to inform you about new classes and upcoming major local events, until such a time as you wish to unsubscribe via the link in our email message.

Course (*Required)

WELCOME TO SALSAMBADA!

Thank you for your online registration. We have reserved a place for you in our ZUMBA class.

While you have registered for a 10 week course, you are able to attend and therefore pay for as many or as few classes during that course as you like.

Normal Rate:
$16 - Casual (per class)
$75 - 5 Class Pass
$140 - 10 Class Pass

F/T Student Rate
$14 - Casual (per class)
$65 - 5 Class Pass
$120 - 10 Class Pass

Salsambada Students
$12 - Casual (per class)
$55 - 5 Class Pass
$100 - 10 Class Pass

Note: Passes are only valid for the term they are purchased in, but can be used at any 5/10 classes at any location (do not have to be consecutive).

We recommend you bring a small towel to class and a drink bottle. We also recommend wearing "cross trainers" or "aerobic" style shoes as they provide the cushion and medial lateral support needed for side-to-side movements. They also have low traction rubber for easy sliding and turning. Please be careful with "running shoes" since they use a heavy tread on the bottom and are designed for forward movement. Dance sneakers are also appropriate if you already own a pair from dance classes.

If you have any other questions, please find our contact details on the "Contact Us" page.

Kindest Regards,

Melissa & Christophe
The Salsambada Crew

WARNING!!
Addictive - May change your life!