Aziza 2020 Workshop Registration
Thank you for registering for the Aziza 2020 Spring Workshop Weekend with Daughters of the New Moon in Juneau, AK. We are very thrilled to invite back Aziza and present the opportunity to learn from an amazing and acclaimed bellydancer.

Daughters of the New Moon, affiliate of the Juneau International Folkdancers, has been dedicated to bringing glimpses of Middle Eastern dance to Juneau residents since 1983, thank you for your support to continue to make it possible.
Email address *
Contact Information
Full Name of Participant *
First and Last
Your answer
Mailing Address *
Your answer
City, ST, Zip Code *
Your answer
Phone *
Your answer
Workshop Selection Information
Workshop Class Selections *
Select your choice of individual workshops or the weekend package.
Private Lesson(s) with Aziza
Available Monday, April 6, before 5pm. $85 per hour, $25 per additional student. Private lessons available without workshop registration, but a $25 surcharge per student will apply. In the Additional Information below, provide numbers of students, hours, topic(s), and preferred lesson day/time.
I have a discount code!
Your answer
Registration Method
Choose payment preference: PayPal (provide email above) or mail registration fee to: Daughters of the New Moon, PO Box 22147, Juneau AK 99802
Please share any additional relevant information or questions that you have about the workshops.
Your answer
I hereby forever indemnify and hold harmless Daughters of the New Moon, the instructor, and the owners of the facilities of any and all loss or injury incurred during or resulting from these activities. *
Thank you for registering for workshops with Aziza!
Within 48 hours you will receive a PayPal invoice to the e-mail account specified above, please pay promptly to ensure your space -- registration is not complete (and your space is not held) until payment is received. Upon receipt of payment we will provide you with any additional information necessary based on your selections.

If you have any questions please contact:
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy