fusion bellydance class registration form

fusion bellydance class registration form

all questions on this form are optional, except for name, email & payment stuff, so please feel free to include as much or as little information as you feel comfortable with, I simply want to create this space for you to let me know a bit more about you & where you are on your dance journey ⟩ ⟩ ⟩
name*

First NameLast Name
email*
pronouns
do you have any specific needs or wishes/ injuries/ special requirements/ sensitivities etc, that you feel I should be aware of?
what is your dance experience until now, & where do you feel you want to go with your dance?
are you comfortable with appropriate physical touch in class in case potential corrections need to be given?
how will you be joining class?

drop-in5 class pass
I am offering my classes on a sliding scale in terms of payment, so please select the amount you feel comfortable paying*
⟩ ⟩ ⟩ I will be donating at least 20% of all profits from my classes to different charities each month, please get in touch if you have any suggestions!
Payment options, please include payment reference:

Revolut me @kathlengmp

PayPal me @kathleenjbean

I am also happy to accept cash payments in class, just please make sure I don't have to give you change!
How will you be paying?
date*

MonthDayYear
mailing list sign up

tick if you'd like to receive my very occasional musings, news, invitations to cool stuff & dance inspirations via email...
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