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
First and Last Name
Preferred Phone Number
May Preferred Phone receive texts?
I am registering for the following class/es.
Sweet Sundays at 6 pm (for beginning students and those wanting an easier pace)
Sweet Thursdays at 11 am (for beginning students and those wanting an easier pace)
Spicy Sundays at 7 pm (for experienced students wanting a more challenging pace)
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)
Send me a copy of my responses.
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