"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.
***No Registration Forms will be accepted without payment of a Conference Package
Please fill out the form below to Complete Your Registration ; )
Doors will open at 7:15am on Saturday, October 3rd, 2020. Check-in will start at 7:30am for the morning session that begins at 8am. Please arrive early to get checked in and ready for your class.
Vendors will be available throughout the day with a variety of lovely items. Be prepared to shop!
Location of Event: Corporate College East - Conference Center, 4400 Richmond Rd, Warrensville Heights, OH 44128
*There is a $25.00 Conference Registration Fee, that is included in the total cost of your package.
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 package within 72 hours of submitting your Registration Form, after payment has been made. Please contact us at
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 you are under 18 years old, you must be accompanied by an adult, who is also registering for classes.
You have the option of Registering for:
The Morning Session = 2 Full Workshops (Reggae Belly & Dancing from Within)
The Afternoon Session = 2 Full Workshops (Modern Belly Dance & Turkish Belly Dance)
A Full Day of Belly Dancing = 4 Full Workshops (All of the Workshops listed above ; )
Lunch is on us, with all package options!
**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
Please indicate the name that was used on Paypal, to make the payment for this Registration
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)
Email address (of student)
Confirm Email address (of student)
Best Phone Number to reach you
Will you need hotel accommodations?
Please indicate your Belly Dance level (Primary)
Never Belly Danced Before
Beginner - some experience
Advanced Beginner - a year or more of experience
Intermediate - several years of experience
Advanced - have been Belly Dancing for many years
Professional Belly Dancer
Will You Be Attending the Morning Session from 8am until 12:00pm / noon?
Will You Be Attending the Afternoon Session from 1:30pm until 5:00pm?
Almost Done, just 3 more questions ; )
Please RSVP for lunch (12:15 - 1:15pm)
Yes! Please Reserve Lunch for me.
No Thank You, I will not be eating lunch
Please tell us who referred you or how you heard about our Convention?
Help Us Confirm Your Registration
Morning Session - Only
Afternoon Session - Only
Full Day Registration ~ Both Sessions ; )
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 session/s you have chosen above. The Conference Package you paid for should reflect the number of sessions 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:
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!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service