Welcome and thank you for your interest in the Latin Dance Fitness Class!   All activities are FREE through the Pomona Wellness Community.

If you are under the age of 18, please have your parent sign the parental consent form and bring to the first class.  You will receive the form via email from pomonawc@ph.lacounty.gov at least 24 hours before the class begins.

*Required

Question Title

* 1. Please select the dates you would like to attend:

Question Title

* 2. Contact information

Question Title

* 3. Is it ok to text you any updates or reminders about the class?

Question Title

* 4. What is your age?

Question Title

* 5. What is your race/ethnicity?  (Check all that apply)

T