Body Positivity and Bellydance Workshop

Body Positivity and Bellydance Workshop Registration

Saturday, May 14, 2016

World Bellydance Day

The Body Positivity and Bellydance workshop was so successful that we're doing it again!

The workshop is $25 and is limited to the first 25 paid registrants. Pay via Paypal at NOW.Birmingham@gmail.com. Please mail checks (written to Greater Birmingham NOW) to:

Greater Birmingham NOW - (can be abbreviated G. B. NOW)
c/o 624 46th Street South
Birmingham, AL 35222

Registration Form

Name *

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Email *

Parent's Name (if registrant is under 18) *

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Age (if under 18) *

What are you most hoping to learn from this workshop? *

Emergency Contact *

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Emergency Contact Phone Number *

How will you be paying? *

Mailed $25 via check (written to Greater Birmingham NOW) Pay $25 via Paypal at NOW.Birmingham@gmail.com.

I hereby forever release Greater Birmingham National Organization for Women, The Dance Foundation, Tai Hicks, Sibylle Kristensen and all associated instructors and/or staff from any and all responsibilities and/or liabilities incurred for any injuries or pre-existing medical conditions in association with any level of belly dance instruction classes, performances, or workshops. I furthermore understand that these classes, performances, or workshops maybe photographed and/or videotaped for promotional materials and agree to said photography and/or videotaping as a condition of my participation and release all interest in such media. I understand that payment is due upon registration of classes or workshops. Registration fees are non-refundable. *

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