H O M E
LA Dance Intensive with Heart Dancer - Registration Form
First Name
Email
Last Name
Phone
Select Room Type
Master Suite ($1250 total per person, room is shared by 2 people)
King Suite ($1025 per person, room shared by 2 people)
Bunk Room ($850 total per person, room shared by 4 people)
What is your level of dance experience (i.e. roughly how many years have you been dancing)? Have you previously trained in any forms of African dance?
Emergency Contact Name / Number:
Meal Preference, select one:
Meat / Fish
Vegetarian
Payment: 50% is due at the time of booking to reserve your space. The remainder is due no later than two months prior to intensive start date. Please answer that you AGREE, and type your full name below if you accept and agree to these payment terms. Once registration form is received, you will be sent specific payment information to your email provided, along with additional information.
Submit
Thanks for your registration! We will follow up with you shortly to finalize paymet/deposit.
H O M E
