Bellydance Class Registration for Mondays at Strictly Ballroom with Amy "Kiyaana"
Please complete this form to sign up for Amy "Kiyaana" Limbrick's 7 pm or 8 pm class held on Monday nights at Strictly Ballroom (off of Lafayette Blvd, 125 Olde Greenwich Dr #190, 22408). This registration will save a spot for you in the class (space is limited to 10).

4 classes (June 7-28) this session will focus on technique, combos, and activities for improvisation.

7 pm - Intermediate/Advanced Class - permission required to join

(Not available in May - 8 pm - Beginner/Adv Beginner Class)

If you need to miss a class during the session, the videos provided via email each week will help you learn what you missed. Some online make up class options will be available, too.

Cost for all 4 classes is $55.

Payment can be made directly to Amy (cash/check) or via PayPal. If paying via PayPal, find buttons here http://www.kiyaana.com/pay-for-monday-classes. Ask me for Venmo or Zelle info.

Please note that refunds are not possible once the session has started.  

These classes are group classes. The minimum number of students is 3, the maximum is 10.

There is no child care available at Strictly Ballroom.

Class observations are not allowed. All present during the class are expected to participate, unless advance permission has been given (for example, if an enrolled student has temporary injury, s/he may observe.)

COVID-19 requirements: Masks will be worn during class, except for water breaks. Physical distancing will be in place. (These policies may be adjusted according to mandates from the commonwealth of Virginia.)

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ONLY 7 pm available this session
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Do you have any specific physical limitations? (If "yes," please describe.)
Covi-19 Disclaimer: I understand that participants must wear masks for this class. If I have an abnormal temperature or other signs of illness, I will not attend this class. I will observe physical distance requirements and other requests made by the instructor for the safety of all. (Please type your name as your signature to affirm this.) *
Liability Disclaimer: Bellydance is a physical activity. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in bellydancing and/or exercise classes. I represent that I am in good health and suffer from no physical impairment that would limit my participation.  I understand that I am participating in bellydance at my own risk.  I agree that Amy "Kiyaana" Limbrick is not liable for any personal injury that I may suffer during class or at any related function. I hereby agree to the above conditions. (Please type your name as your signature to affirm this.) *
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