Salsa & Bachata Level 1 Registration Salsa & Bachata Level 1 Class Registration and Payment Form Student Name First Name Last Name Email example@example.com Phone Number Please enter a valid phone number. Class Price * prev next ( X ) Bachata Level 1 and Salsa Level 1 Salsa Level 1 Mondays 7pm Bachata Sensual Level 1 Wednesdays 7pm $ 140.00 for each month Salsa Level 1 Salsa Level 1 Mondays 7pm $ 80.00 for each month Bachata Level 1 Bachata Level 1 Wednesdays 7pm $ 80.00 for each month Credit Card First Name Last Name Credit Card Number Security Code Expiration Date Postal Code Submit Should be Empty:
English 
Spanish