Bellydance Technique - Open Level
Bellydance Technique - Open Level with Accalia of Deep Roots ॐ Strong Dance®

Where: Prairie Circus Arts (195 Collegiate St)
When: 12 weeks, Jan 19 - Apr. 5
Sundays 7:15-8:15pm
Fee: $150

About: This class tends toward Intermediate to Advanced material. Dancers should already be comfortable with basic ITS movement, chest isolations, shimmies, body waves, umis & hip circles. Some modifications will be provided. Beginner Bellydance technique is a prerequisite.
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Email *
Name *
Phone number *
Emergency contact person - name *
Emergency contact person - phone number *
In which municipality do you reside? *
If other, please specify
Bellydance background *
What styles of bellydance have you studied? *
I understand that Class fees are non-refundable *
Required
Registration requires; 1) the submission of this form and, 2) the downpayment of $75 (50% of the Class fee) by eTransfer to info@deeproots-strongdance.com. I understand that my registration is complete only when the above requirements have been completed. *
Low Cost Classes (50% off) are available where there is a financial *need*. Honour system. Confidential. Email the instructor directly at info@deeproots-strongdance.com. These spots are limited - first come, first served. Applying for a low cost spot does not guarantee acceptance.
Required
I understand the following; the remainder of Class fees are due by the first day of class. *
Required
I am 18 years of age or older *
If participant is under 18 years of age, this online registration form may not apply. Underage participants may register in person, with permission of a parent or guardian. Email info@deeproot-strongdance.com for more information.
Required
WAIVER *
Participant risk acknowledgement, release, waiver of claim and assumption of risk for Bellydance Classes with Accalia and use of the dance class facilities. I agree and acknowledge that: 1. I am aware that there are risks and hazards inherent in learning a new style of dance. I am aware that I may participate only to the extent that I personally decide to, and therefore, I voluntarily and freely assume the risks of my participation in Bellydance Classes with Accalia.2. I hereby release and forever discharge and hold harmless Accalia Robertson, the tenants of the dance class facility, the owners of the dance class facility, employees and volunteers (All hereinafter referred to as the "Releasees") of and from any and all claims, demands, damages, proceedings, expenses, actions, or causes of action in law or in equity in respect to any death, injury, loss, or damage to myself or to my property howsoever caused and arising or to arise by my use of the dance class facilities including, without limiting the generality of the foregoing, the negligence of the Releasees.3. I agree to indemnify and save harmless the Releasees for any claim, including any claim for medical services arising from the use of the dance class facilities. 4. I am aware of the nature and effect of this Release, Waiver of Claim and Assumption of Risk, my voluntary signature on this Release, Waiver of Claim and Assumption of Risk is binding upon myself, my heirs, my executors, administrators and assigns. 5. This Release and Waiver of Claim shall be binding upon me, my heirs, executors, administrators and assigns.     6. I am executing this Release and Waiver of Claim and Assumption of Risk freely and voluntarily without any compulsion on behalf of Bellydance Classes with Accalia.7. I acknowledge that I have read this entire Agreement prior to signing it. Intending to be legally bound I agree to this Release, Waiver of Claim, and Assumption of Risk.
Required
Personal goals for the class / what you hope to get out of it
Additional Notes:
A copy of your responses will be emailed to the address you provided.
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