Bellydance with Jeylan Registration
Please complete the following to register for bellydance classes with Jeylan at Two Left Feet Dance Studio in Newport News, VA. For questions or more information, please email, call 757-912-5591, or go to
Email address *
First and Last Name *
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Preferred Phone Number *
Your answer
May Preferred Phone receive texts?
I am registering for the following class/es.
Class Fees
Classes cost $15 each or $60 for a 6-week package. Paypal is preferred; please send to Checks and labeled cash also accepted.
By completing my name below and submitting this form I agree to abide by the pay schedule and will inform the instructor of any absences when otherwise expected. I will not hold Jeylan, Rachel Bevins, or Two Left Feet Dance Studio liable for any injuries occurring to me during classes or related times. (Type name)
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