Registration for Shahrzad Intensive- Los Angeles
Please fill out all fields and make sure you send payment. If you have any questions please contact Adrianne at bellydancemagic@gmail.com

Intensive is  March 24th - 26th 2023
Registration includes Friday, Saturday and Sunday - 2 workshops each day (Subject TBD)
Includes ticket to Saturday night show


Friday
10am-12:30pm Class
1:30pm-3:30pm Class


Saturday
10am-12:30pm Class
1:30pm-3:30pm Class
7:30pm-9:30pm Show

Sunday
10am-12:30pm Class
1:30pm-3:30pm Class

All workshops and Saturday night gala show will be held at the
El Segundo Women's Club
541 Standard St, El Segundo, CA 90245


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Your Legal Name
Your Dance Name 
Your email address
I understand that all sales are final and no refunds. If you are unable to make it to the intensive you can sell your ticket to another dancer, but please let Adrianne know.
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I realize that participation in dance workshops and activities could involve some possible personal injury. Despite precautions, accidents and injuries may occur. By signing this release form, I (the dancer) assume all risks related to the use of any and all spaces used by the workshops with Shahrzad. I am participating at my own risk.


I agree to release and hold harmless Shahrzad and Adrianne Curran including staff members, and facilities used by both entities from any cause of action, claims, or demands now and in the future. I will not hold Shahrzad and Adrianne Curran liable for any personal injury or any personal property damage, which may occur on the premises before, during or after classes. Furthermore, I agree to obey the workshops and facility rules and take full responsibility for my/our behavior in addition to any damage I may cause to the facilities utilized by Shahrzad and Adrianne Curran. In the event that I should observe any unsafe conduct or conditions before, during or after my/our classes, I agree to report the unsafe conduct or conditions to Adrianne Curran as soon as possible.

I agree to not attend class if I have been exposed to Covid-19 or any other infectious diseases, or are currently testing positive for Covid-19. I understand I will not receive any refund for workshops or shows missed due to illness. I understand I can sell my ticket in the event I’m not able to attend and there are no refunds.
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What kind of classes would you like to see from Shahrzad? 
Choreography: Mejance, Tabla Solo, Classic Song, Golden Era

Technique and combos: Mastering the Belly, Shimmies and Isolations, Elegant Arms, Flawless Footwork, Golden Era for the modern age, Baladi/Shaabi

Musicality: Taqsim, Dancing with Egyptian rhythms, improvisation with Baladi

Lecture: Cairo Dance Scene and Q&A

You can also type in any other requests! 
Emergency Contact name and phone number
I have sent payment to Adrianne.
PayPal $450 (Friends and Family) to bellydancemagic@gmail.com
or PayPal $463.45 if paying for goods and services. You are responsible for covering any payment/paypal fees.

Are you also interested in the Thursday night open workshop? Location TBD. Open workshop on Thursday- $65 for non-intensive students, and $55 for those who bought the full package. Limited to 50 students

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