2020 Zumbathon Registration Form
Use this form to electronically register for the 2020 Zumbathon. Payment will be via PayPal (which will include a $1 processing fee.) Your registration is not complete until payment has been received. You MUST register by December 31st to get an event shirt/tank top.
You may register in person at any of Monica's class, and pay with cash or check there.
First and Last Name
Your Phone Number with area code
Emergency Contact (Name)
Emergency Contact (Phone Number)
By typing your name below, you are acknowledging and agreeing to the above waiver of release of liability form.
Zumba Instructor (if you attend classes currently)
Online Registration: $21
Registration ONLY $21
NO LONGER AVAILABLE Registration/Tank Top $25
NO LONGER AVAILABLE Registration plus event shirt and tank top $30
NO LONGER AVAILABLE T-shirt Size Only
I did not order a t-shirt
NO LONGER AVAILABLE Tank Top Size Only
I did not order a tank top.
Payment via PayPal (Your registration is not complete and your shirt will not be ordered until payment is received. Contact
for any questions.)
Please send me a Paypal invoice to the email address above for $21
NO LONGER AVAILABLE Please send me a PayPal invoice to the email adress above for $25 (tank top)
NO LONGER AVAILABLE Please send me a PayPal invoice to the email address above for $30 (t-shirt and tank)
I have sent my total payment via PayPal to
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service