Class Registration Class Registration Name * First Last * Last Email * Phone number (to share resources on WhatsApp and flash updates) * Is your phone number registered with WhatsApp? * Yes No Are you registering for a drop-in class or a series? * Drop-in class4-week series Register for series OR drop-ins. To mix series and drop-ins, fill out separately. Which class(es) are you signing up for? * Afro-Cuban Percussion (Monday 6-7:15pm) Afro-Cuban Traditional & Folkloric Dance with Live Percussion (Tuesday 7:30-8:45pm) Salsa Casino: Level 1 (Wednesday 6:30-7:30pm) Salsa Casino: Level 2 (Tuesday 6:15-7:15pm) – PLEASE ANSWER NEXT QUESTION Salsa Casino: Level 3 (Thursday 6:30-7:30pm) – PLEASE ANSWER NEXT QUESTION Which series are you signing up for? * Afro-Cuban Percussion (Monday 6-7:15pm) Afro-Cuban Traditional & Folkloric Dance with Live Percussion (Tuesday 7:30-8:45pm) Salsa Casino: Level 1 (Wednesday 6:30-7:30pm) Salsa Casino: Level 2 (Tuesday 6:15-7:15pm) – PLEASE ANSWER NEXT QUESTION Salsa Casino: Level 3 (Thursday 6:30-7:30pm) – PLEASE ANSWER NEXT QUESTION Total Costs are $20 per class, or $60 per 4 week series. Punch cards are available with instructor for weekly classes: buy 7 and get the 8th free. *FOR LEVEL 2/3 CLASSES ONLY* Tell us about your experience. I have completed a 4 week Level 1 series with Salsa Ithaca or have attended 4 or more classes.I have taken Salsa classes elsewhere and feel ready for the Level 2/3 series.I have received instructor authorization to enroll in Level 2/3., I have completed a 4 week Level 1 series with Salsa Ithaca or have attended 4 or more classes. How are you paying? * Venmo or CashApp now (preferred)Cash, check or other arrangement in advance (we will contact you)At class (for continuing students only)Credit/debit card now (5% will be added) Venmo: Salsa-Ithaca. CashApp: $SalsaIthaca. Mail check to 119 S. Cayuga St, St 301, Ithaca NY 14850. Include your class(es) and date(s) in the memo. Balance due Payment Comments Submit If you are human, leave this field blank. Δ
