Please register for the summer sessions below

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Belly Dance with Bold Baladi (Jess)

Email *

Your name *

Phone

Which class are you registering for? *

Awaken the Goddess Session / Saturdays @ 12pm

Pure Beginners / Wednesdays @ 6:15pm

Beginner Choreography / Wednesdays @ 7:20 pm

Required

Experience Level & Exposure

Does any of the following apply to you?

I've never tried belly dancing before

I've taken belly dancing before, but it's been a long time.

I've taken dance classes in the past (ballet, Zumba, Salsa, etc)

I've taken martial arts / karate classes

I've taken yoga classes

I've taken pilates classes (Barr3, Pure Barre, etc)

I know how to play a musical instrument or read sheet music

What's sparking your interest in belly dance? *

Fitness and flexibility

Build confidence

Fun social activity

Appreciation/curiosity about the art and culture

Interested in performing

Other:

Required

Do you have any health concerns or physical injuries? *

Are you interested in future performance opportunities? *

Yes

Maybe

Housekeeping

May I add you to the class email list? You will receive class reminders, updates and other belly dance related content twice a week.

Yes

Clear selection

For my records, please select your preferred payment structure *

$55 per 6-week Session *does not roll over*

$15 Drop-ins

Class Card (3+ classes @ $10 each) *never expire*

Private Lessons

Other:

Required

How did you hear about these classes?

Google

Friend

Social Media

Other:

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Comments or questions?

Send me a copy of my responses.

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