Winter 2023 Bellydance Registration
Please complete this form to reserve your spot in class.

8-week Session: January 11 - March 2
Beginner Bellydance / Wednesdays at 6:30 pm starting January 11
Intermediate Bellydance  / Thursdays at 6:30 pm starting January 12
Location: Art Works 320 Hull St, Richmond, VA 23224  

Pricing
Drop-in: $15 / class Full Session: $100 (8 classes)

You may pay with cash at the start of class or pay in advance with Paypal or Venmo.  
Paypal: paypal.me/ayam3
Venmo: @Ayam3 (Andrea Rogers) indicate "bellydance class" in the message.

Scholarship Opportunities
At Electric Nomad, we believe deeply that income should not be a barrier to dance. There are a limited number of scholarship opportunities available for each session. Please email radical.shimmies@gmail.com to learn more.   
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Select the class(es) you want to register for: *
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What week(s) are you registering for? *
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First Name *
Last Name *
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Primary Email *
Do you have any physical limitations I should be aware of?
Do you want to receive emails about classes & events?
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Payment
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If using a gift certificate, please enter the code found on the certificate to redeem. 
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Liability Waiver
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 Andrea Rogers 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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