2018 Bellydance Class Registration Information
Thank you for registering for 2018 bellydance classes with Kalirah and Seraphina, members of the Daughters of the New Moon troupe in Juneau, AK. (Class information is at https://www.daughtersofthenewmoon.com/classes-and-events.html)

Please complete the form below and a PayPal invoice will be sent within 48 hours to your designated PayPal e-mail account.

Contact Information
Full Name *
First and Last
Your answer
Mailing Address *
Street Address or P.O. Box
Your answer
City, ST, Zip Code *
Your answer
Phone *
Best (evening) number
Your answer
PayPal Account E-mail Address *
Your answer
Preferred E-mail Address
If different from PayPal account. Will be used to send any additional information about your class
Your answer
Class Selection Information
Class Selections *
Choose the class(es) you wish to register for
Required
Thank you for registering for classes with Kalirah Arts!
Within 48 hours you will receive a PayPal invoice to the e-mail account specified above, please pay promptly to ensure your space. You are not officially registered 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: kalirah@gmail.com

I hereby forever indemnify and hold harmless Kalirah Arts, the instructor, and the owners of the facilities of any and all loss or injury incurred during or resulting from these activities. *
Further, I understand that no refunds will be given unless a class is canceled.
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