* 1. Listed below are Beginner level workshops and courses offered by the Tango Society of Central Illinois & Urbana - Champaign Argentine Tango starting in October 2013. Register for the classes you wish to take. Confirmation of enrollment will be provided by e-mail. Enrollment may be limited if there is a gender imbalance (in which case you will be placed on a waiting list). Gender imbalance is not a restriction if you register with a partner.

Please list your name & contact information below:

* 2. Your Gender:

* 3. Do you have a partner?

* 4. If you have a partner, please list your partner's name

* 5. If you have a partner, do you prefer to

* 6. List below are the weekly tango courses scheduled for Fall Session 2. Select the one(s) you plan to take. You may take 2 courses at a discount if you pay for (only) the course at the higher price.

* 7. Payment for instruction is due at the start of the first class. Payment may be by cash or check. Please indicate below you & your partner's student status:

* 8. If you have an questions or comments, please state them in the box below: