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Fill in details for the class you are interested in and proceed with payment to complete registration

Schedules

Halifax	Classes
Saturday 01:00 PM-02:00 PM	Belly Dance Adults

Hammonds Plains	Classes
Wednesday 6:00 PM-7:00 PM	Belly Dance Adults

Student Full Name

Phone Number

Select Class

Belly Dance (Adults, once a week)

Select Location

Halifax Hammonds Plains

Gender

Male Female Prefer not to respond

Allergies (if none, leave BLANK)

Chronic Disease (if none, leave BLANK)

Emergency Contact – First Name and Last Name

Emergency Phone Number

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