Salsa with Luis
Tuesdays | 2:00-3:00 p.m.
Copp Hall

Name

This address will receive a confirmation email

Phone

Address

How did you hear about this program? Member of RUC Attended Past Programs/Events Word of Mouth Social Media Brochure Web Site A Retirement Community Other

If you are associated with a retirement community, which one?

Emergency Contact Name and Relation

Emergency Contact Phone

PHOTO CONSENT: To promote our program, we may capture photos/videos during class activities. These images may be used for promotional materials (flyers, posters, brochures), organization website, social media platforms, newsletters and reports.

Yes, I give permission to be photographed, video recorded, and have my image used for the purposes stated above. I understand these images may be shared publicly. I understand that no personal information (e.g., full name) will be shared without addition No I do not give permission

Comments

DANCE - REGISTRATION FORM

Salsa with Luis
Tuesdays | 2:00-3:00 p.m.
Copp Hall

Description

DANCE - REGISTRATION FORM

Salsa with LuisTuesdays | 2:00-3:00 p.m.Copp Hall

Description

Please Fix the Following

Salsa with Luis
Tuesdays | 2:00-3:00 p.m.
Copp Hall