Belly Dance Basics DVD

Student Registration For All Class Offerings

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Class Choice:

Beginner & Open Level w/Jess - Saturday 11:45am-12:45pm $55 per Six-week Session Beginner & Open Level w/Jess - Saturday 11:45am-12:45pm $15 per lesson Beginner Basics w/Jess - Wednesday 7-8pm $55 per Six-Week Session Beginner Basics w/Jess - Wednesday 7-8pm $15 per lesson *Troupe Class w/Gypsy - Wednesday 6-7pm $55 (6 weeks) -or- $15 per lesson

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Any past dance or theater experience or training?

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Do you play any musical instruments?

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Do you have any physical constraints, illnesses or past injuries? If yes, please list below:

How did you hear about my class and/or web site? yellow pages, internet search, newspaper/magazine ad. If referred by friend please list name):

Do you have any concerns or questions?

Are you interested in continuing lessons and perhaps joining a troupe?

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Please confirm Beginner Basics session (beginning date) for which you are registering:

Jess: May 1, 8, 15, 22, 29; June 5
Jess: May 5, 12, 19, 26; June 2, 9

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