"Belly Dance by The Lake"
CONGRATULATIONS! This is the second half of your Registration Process.

We would like to thank you for registering for The International Belly Dance Conference of Cleveland. If you have not completed the first half of this registration process, please click here to go to our website to choose your Conference Package and Pay for your package. https://modernbellydance.com/register-for-conference

***No Registration Forms will be accepted without payment of a Conference Package

Please fill out the form below to Complete Your Registration ; )

Convention Details
Doors will open at 8am on Saturday, October 5th 2019. Check-in will start at 8am for classes that begin at 9am. Please arrive early to get checked in and ready for your classes.

Vendors will be available throughout the day with a variety of lovely items for your Belly Dance needs.There will be lots of
wonderful items to choose from. A Photographer, Henna Artist, and Make-up Artist will be available throughout the entire day.

Location of Event: Corporate College East - Conference Center, 4400 Richmond Rd, Warrensville Heights, OH 44128

*All Classes are $45.00 per class, during "Early Registration". There is a $25.00 Conference Registration Fee, that is included in your total. The Early Registration Discount is a $10 savings off of every class!! (Each class will be $55.00 after all discount periods expire) It's a great time to take advantage of the Early Registration to save money! Early Registration will expire on May 31st. Classes are filled on a first come, first serve basis and they will fill up quickly! Register Today!

A hot buffet lunch will be provided to all Conference participants, free of charge. Please RSVP for lunch below.

You will receive an email confirmation for your selected classes within 72 hours of submitting your Registration Form, after payment has been made. Please contact us at Convention2019@modernbellydance.com if you do not receive your confirmation email within 72 hours, to be sure that we have received your Registration Form. We will also contact you if a payment is received, but no form was submitted. Please be sure to check your Spam mail box, if you have not heard from us, to be sure that your confirmation email was not misdirected there.

** All participants must be at least 14 years of age to Register for this Conference. If under 18 years old, you must be accompanied by an adult, who is also registering for classes.

Below is the total cost of classes, during the "Early Registration" period, they already include the discount.
"Early Registration" will expire on May 31st, 2019 at midnight (EST).

You have the option of taking:
1 Class = $70
2 Classes = $115.00
3 Classes = $160.00
4 Classes = $205.00
and Lunch is on us!

**We Reserve the Right to Modify Classes, substitute instructors, or make any changes that may be necessary, without notice.

By submitting this Registration Form, I hereby agree to the terms of this Disclaimer. I hereby forever release and discharge "Modern Belly Dance of Cleveland", the owners, Instructors, employees, agents, members and guests from any and all responsibilities and any and all claims for injuries that I may receive while participating in this Conference.

*** If this registration is for a minor, then a parent or guardian must sign a waiver at "Check-in", before the minor will be able to participate in classes.

Complete Your Registration for the Conference
First and Last Name of Student *
Your answer
Please indicate the name that was used on Paypal, to make the payment for this Registration *
Your answer
Are you under 18 years of age? *
If you answered "Yes" to the question above, then please indicate the name of the adult that will be supervising the minor below. (They must also be registered for classes)
Your answer
Email address (of student) *
Your answer
Confirm Email address (of student) *
Your answer
Best Phone Number to reach you *
Your answer
Will you need hotel accommodations? *
Please indicate your Belly Dance level (Primary) *
Early Morning Classes
Choose One Class from 9am until 10:30am *
Late Morning Classes
Choose One Class from 11am until 12:30pm *
Early Afternoon Classes
Choose One Class from 1:30pm until 3:00pm *
Late Afternoon Classes
Choose One Class from 3:15pm until 4:45pm *
Almost Done, just 3 more questions ; )
Please RSVP for lunch (12:30 - 1:30pm) *
Please tell us who referred you? *
Help Us Confirm Your Class Package *
How many classes did you choose?
Please Submit this form below
Thank You for Completing Your Registration! Don't forget to hit "Submit"
This is the final step in your Registration.

You will receive a confirmation email that will indicate the classes you have chosen above and registered for. Your Conference Package that you chose and paid for, should reflect the number of classes you chose above. Please double check, before submitting.

IMPORTANT: Please let us know right away if you need to make any changes to this Registration. You have 48 hours to make changes or to cancel your registration. After that time, there will be no refunds, but you can transfer your Registration to another person, up to 7 days before the Conference. No Transfers will be allowed after that time.

Contact us at:
Convention2019@modernbellydance.com for all correspondence, changes to your registration, transfers or if you do not receive an email at the above email address within 72 hours of your submission. Thank you again for your interest in "Belly Dance by The Lake" ~ The International Belly Dance Conference of Cleveland.

We're Looking Forward to Dancing with You!

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