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.
Email address *
First and Last Name *
Your answer
Your Phone Number with area code *
Your answer
Emergency Contact (Name) *
Your answer
Emergency Contact (Phone Number) *
Your answer
Waiver *
By typing your name below, you are acknowledging and agreeing to the above waiver of release of liability form.
By typing your name below, you are acknowledging and agreeing to the above waiver of release of liability form.
Your answer
Zumba Instructor (if you attend classes currently)
Your answer
Online Registration: $21 *
NO LONGER AVAILABLE T-shirt Size Only
NO LONGER AVAILABLE Tank Top Size Only
Payment via PayPal (Your registration is not complete and your shirt will not be ordered until payment is received. Contact ZumbaWithMonicaB@gmail.com for any questions.) *
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