Bellydance Retreat Registration

 

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this page is still under construction

 

Please print this information out, fill in, and send to: ................

Name:
Phone:
Email
Address:
3-day:
Full Deal:
Accomodations:
Meals:
Paying by:
Reserve by ...date...
Deposit...$

Deposit must be received by ..............  Please make cheque payable to ..............

 

 

Waiver
I understand that it is my responsibility to make the instructors aware of any physical difficulties or limitations I may have, such as injury, illness, pain, inactive lifestyle, etc. I agree to take full responsibility for being adequately stretched, warmed up, and cooled down; to honour my limits; to respect any signs of pain; and to take appropriate action. I understand that I alone am responsible for my physical and emotional safety. I hereby and forever release Erin Dragonsong, Angelina Peterson, this Venue, and all Workers and Volunteers from all liability, loss, or injury incurred in association with this workshop.