Workshop Registration

Belly dance day Registration - August 7, 2010

Submit this form:

Name:

Mailing Address:

Email address:

Telephone:

Would you like to perform at our evening hafla?

Yes No

Dance name:

And don't forget the Door Prize!

The first 15 fully paid workshop attendees shall be entered into a drawing for a Door Prize. The Door Prize will be this beautifully custom-made Tribal Belt, complete with kuchi jewelry and coins.

Door Prize will be given away at the hafla on Saturday night. You do not have to be present to win. Upon receipt of full workshop payment you will be notified if you qualify for the drawing.