Studio Booking Form
Fill out this Studio Booking Form to share some information about you, your studio, and your students.
(If different than Studio Address)
Primary Coordinator Contact Name:
Primary Coordinator Contact Email:
Primary Coordinator Contact Phone:
Secondary* Coordinator Contact Name:
Secondary* Coordinator Contact Email:
Secondary* Coordinator Contact Phone:
You may provide links for whichever electronic outlets apply for your studio.
Social Media Links- Facebook/Twitter/Instagram/etc
(You may provide links for whichever electronic outlets apply for your studio.)
Does your studio send out any electronic marketing newsletter or updates to its students?
Yes, we have a mailing list and send electronic marketing to our students.
No, and we do not intend to in the future.
No, but we have considered it.
I don't know what that means.
If your studio does send electronic marketing to its students, would you be willing to provide us with some details?
1. How many people have subscribed to your email marketing? 2. How often do you send updates? 3. Would you like help learning more about using email marketing?
Studio Dance Styles
Classical (Ballet, Jazz, Modern, Tap,etc)
Ethnic Dances (Afro, Brazilian, Tribal, Dancehall, Belly Dance,etc)
Target Student Age Range:
Class Admin Provided
Cash Only Transactions
Credit Cards Accepted
Handles class ticketing
Handles class promotion
Display Table (to sell merchandising)
Printer on location
Wi-fi Connection Details- network/password
Does your studio take/retain signed liability waivers from students?
Is there anything else we should know about your studio?
Send me information about the following Kim Jordan Creations Masters Dance Workshops:
(Select all that apply. You may select more than one.)
Booty Dance for Dancers
Booty Dance for Fitness
Strictly Twerk Technique
Special Edition Workshop: Learn to Work the Floor
Special Edition Two Day Workshop + Performance (4 hours)
Booty Dance for Kids (Ages 7-14)
Michael Jackson Style
Teacher Training Certification Workshop (2 Days/10 hours)
Theory Courses: Twerk & Booty Dance Culture
For more information on Kim's rates and pricing, review the Suggested Pricing Document document in this link:
When would you be most interested in booking a Kim Jordan Creations Masters Dance Workshop?
Note: List specific date(s) in "Other" if you have a specific date(s) in mind. You may select more than one option.
Weekend of September 16: Booked Workshops Barcelona
Weekend of September 30: Booked Teacher Training Barcelona
Weekend of October 7: Booked Workshop Barcelona: Viaje al Centro del Placer: Female Sexuality & Twerk, Barcelona
Weekend of October 21: Workshops Staffordshire, England Twerk & Booty Dance
Weekend of October 28: Workshops Barcelona: Samba Reggae & Theory Course Twerk & Booty Dance Culture
Weekend of November 4: Booked Berlin Teacher Training & Regular Workshops
Weekend of November 11: Booked Tenerife Workshops
Weekend of November 18: Booked Workshops BCN L'Hospitalet Booty Dance/Twerk
Weekend of November 25: Booked Dance4U Festival Spain
Weekend of December 2: Booked Workshops Berlin
Weekend of December 9: Booked Intensive (Práctico) Barcelona, Spain
Weekend of December 16: Booked Workshop Montblanc, Spain & Taller Especial: Viaje al Centro del Placer Barcelona
Weekend of January 20: Booty Riots Barcelona
Weekend of January 27:Booked Intensive Booty Dance BARCELONA (Morning and Evening)
Weekend of February 3: Booked Workshops Liverpool, UK
Weekend of February 10: Booked Teacher Training & Workshops Vasteras, Sweden
Weekend of February 17: Booked Teacher Training Certification Barcelona Booty Dance & Twerk
Weekend of March 3rd: Viaje al Centro del Placer Barcelona
Weekend of March 10th: Spanish Bounce Shakedown in Madrid with Big Freedia
Weekend of March 17th: Booked Theory & Practical Workshops + Booty Riots Performance Barcelona
Weekend of March 24th: Rap Against Racism Barcelona (Hip Hop Master Class)
Weekend of March 31st: Dia de la Dona Barcelona Charla & Practical Workshop
Weekend of April 7th: 3rd Edition Booty Riots
Weekend of April 14th: HOLIDAYS
Weekend of April 21st: Dancehall International Barcelona
Weekend of April 28th: SUPERTALLER Barcelona (Theory & Practical Course All in One)
Weekend of May 5th: Booked UK: Miss & Mr Pole Essex ESSEX, UK
Weekend of May 12th: Booked Workshops TENERIFE
Weekend of May 19th: Booked Taller de Sexualidad para Mujeres: Viaje al Centro del Placer BARCELONA
Weekend of May 26th: Booked Taller de Sexualidad: Viaje al Centro del Placer SEVILLA
Weekend of June 3rd: Recital Ile del Ball
Weekend of June 10th: Recital Así Se Baila
Weekend of June 17th: Booty Riots 4th Edition
Weekend of June 24th: Booked Workshops: BERLIN
Weekend of July 1st: Booked Taller de Sexualidad para Mujeres: Viaje al Centro del Placer BARCELONA
Weekend of July 8th: Booked Tenerife: Teacher Training Certification (Booty Dance & Pole Dance)
Weekend of July 17th-19th: Booked Rosangela Silvestre Workshops in Barcelona
Weekend of July 22nd: Booked Workshops: Pennsylvania Elite Pole Fitness
Weekend of July 29th: Booked Workshops SEATTLE, USA Vertical Arts & Divine Movement
Weekend of August 12th:Booked Workshops Seattle, USA
Weekend of August 19th: Booked Teacher Training Certification and Regular Workshops Pole Fitness SEATTLE
Weekend of August 27th: Booked Fitness Week Convention AUSTRIA
Weekend of Sept 1st: Booked Fitness Week Convention AUSTRIA
Weekend of Sept 8th:
Weekend of Sept 15th
Weekend of Sept 22nd
Weekend of Sept 29th
Weekend of October 7th: Taller de Sexualidad para Mujeres Barcelona
Weekend of October 13th
Weekend of October 20th
Weekend of October 27th
Weekend of November 3rd
Weekend of November 10th: Booked Tentative Teacher Training Certification Zurich
Weekend of November 17th
Weekend of November 24th
Weekend of December 1st
Weekend of December 8th: Taller de Sexualidad para Mujeres Barcelona
Weekend of December 15th
Ideal Class Duration:
(Select all that apply. You may select more than one.)
Any additional notes or questions regarding your studio or booking a Kim Jordan Creations Masters Dance Workshop?
Booking Fee Notice
To reserve a Kim Jordan Creations Workshop, you will be asked to submit a 50€ Non-Refundable deposit for each class you would like to book no later than 1 month in advance of the scheduled classes. This booking deposit helps cover advance administrative and travel fees.
If you have questions about this requirement, please email Kim at
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