REGISTRATION FORM for Aepril Schaile's spring/summer 2008 classes (signature required to participate)

The Beginning class will be held at The Oracle Chamber, 124 Derby St, Salem MA.

The Mixed Levels class will be held at Belly Moves, 75 Main St, Peabody, MA.

50% deposit required for classes. This will guarantee your spot. Balance due at the beginning of the first class unless other arrangements have been made. All payments are nonrefundable after first class. A $25.00 fee will be assessed for any returned checks. Please email with any questions: aeprilschaile@hotmail.com

I will need at least 8 people registered for each class by 5/19/08 to make it happen! If not, two classes may be merged (and appropriate adjustments made to accommodate different skill levels), or class may be cancelled and depsosit refunded.

You can register by check by printing out the following and mailing it to the address below, or you can register using paypal (if available) on my website, www.aeprilschaile.com/bellydance.htm. You can return this registration form to me with your check, or return it to me in person before class begins

Please include the following info with your registration:

Today's Date:
Name:

Age:
Street Address:
City, State, Zip:
Home phone:
Email:

TOTAL ENCLOSED

LIABILITY DISCLAIMER
Instructors and facilities are not liable for personal injuries or loss of, or damage to personal property. Since this is a physical activity, injuries may occur. Each student may decline to participate in any activity that they feel may be harmful; and is also responsible to inform the instructor of any physical limitations that may prevent full participation. A doctor’s written approval is required in order to resume classes after extended illness, physical injury or accident.

signature________________________________________date_________

Send to: Aepril Schaile, PO BOX 8876, Salem, MA 01971

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