Name *

First Name

Last Name

Phone *

(###)

###

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Pick Up Preference *

Couva

Chaguanas

I will drive myself

Emergency Contact *

First Name

Last Name

Phone *

(###)

###

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Disclaimer *

By selecting the checkbox below I understand that Sreshtha Tewari is organizing this event to promote love, community, fun and togetherness for her Zumba family and friends. Sreshtha Tewari is in no way associated with Mad J'ouvert and cannot be held accountable for the experience. Mad J'ouvert usually does not disclose J'ouvert wear upfront and so it may end up being something you may not like. However, we can cut it into anything to make you look hotttt!!!! Mad J'ouvert is an all inclusive experience with good security. The security is the reason I like playing with them. Last year's cost was $800. I don't know what this year's cost is as yet. I suggest you budget around 1200-1500 as you may want to purchase shorts, sneakers and accessories. Of course you can always use what is in your closet. Please check BOTH boxes below prior to submitting the form.

I understand I am a responsible adult and take responsibility for my safety and actions. I agree not to hold Sreshtha Tewari liable for any grievances from the event. I also understand if I am late more than 15 minutes I may get left behind.

By submitting this form, I confirm that I have read, understood and agreed to the disclaimer and my responsibiliity