Online Registration Form

Online Registration Form
To register for classes/workshops, please complete this form and click the Submit button at the bottom of this page.
Registration is not complete until payment has been received. Payment can be made under "Classes".
Register ASAP to reserve your spot in class.

* Indicates required field

Name of Student *

First

Last

Birth Date (mm/dd/yyyy) *

Parent's name if student is under 18 years *

Email *

Confirm Email *

Street Address, City, State, and Zip Code *

Phone Number *

How did you hear about Na'ama Rose Dance *

Choose Any *

Belly Dance Level I, Mondays, 6:30-7:30pm (8 wks) Belly Dance Level II, Mondays, 7:30-8:30pm (8 wks) Yoga Level I - II, Sundays, 9:45-10:45am (8 wks) Gentle Yoga, Sundays, 8:30-9:30am (8 wks)

Payment Method - Registration is not complete until payment has been received. *

Payment/Class Policies *

Payment is due in full on or before the first day of class. Registration is not complete until payment has been received. Registration is on a first come first serve basis. Class size is limited. Checks are payable to Bodyscapes, Inc. There are no refunds granted unless a class is cancelled. For checks that are retuned for insufficient funds, a charge of $25 will be assessed. Missed classes can not be made up in subsequent sessions. No exceptions. Classes begin on time.

Signature and Waiver *

By checking this box I certify that the above named student is in good health and capable of participating in classes. I hereby release Na'ama Rose Dance and Bodyscapes and their representatives from all liability for personal injury, illness, or property loss or damage. I agree to allow Na'ama Rose Dance to take photographs of me or my class for studio promotional use (names will be withheld).

Comment *

Submit

Online Registration Form
To register for classes/workshops, please complete this form and click the Submit button at the bottom of this page.
Registration is not complete until payment has been received. Payment can be made under "Classes".
Register ASAP to reserve your spot in class.

Location

Contact

Subscribe

Online Registration FormTo register for classes/workshops, please complete this form and click the Submit button at the bottom of this page. Registration is not complete until payment has been received. Payment can be made under "Classes".Register ASAP to reserve your spot in class.

Location

Contact

Subscribe

Online Registration Form
To register for classes/workshops, please complete this form and click the Submit button at the bottom of this page.
Registration is not complete until payment has been received. Payment can be made under "Classes".
Register ASAP to reserve your spot in class.