To Register for classes held at BodyWorks By Chandani, please print, read, complete and mail the following registration form and payment to BodyWorks By Chandani. If you have further questions about the classes or registering please call (757) 313-8000.
BODYWORKS BY CHANDANI
REGISTRATION AND LEGAL RELEASE FORM
~ To register for class, send your payment and this signed registration form to Bekah James 178 Thalia Village Shoppes Suite C Virginia Beach, VA 23452. Payment for Beginner 1 classes is $98. Beginner 2 classes are $88. Each level after that is $83. Tribal Belly Dance is $73. Please make checks out to Bekah James. Be sure to send it plenty early in order to reserve your spot. If you are under 18 you must have your registration form signed by a parent or guardian.
~ There are no refunds. Please do not sign up for a class if you are unsure of your ability to attend class. All classes, workshops and services must be paid for in advance and are not transferable or refundable. I understand that certain class packages purchases involve certain expiration dates which have been explained to me in full. I understand that I am registered for a certain set of dates and that if I miss a class then there is no make-up class, unless I pay for additional private lessons.
~ Credit is given only incase of
severe illness or injury. To receive credit you should notify me no less than
one week after your illness or injury and then send me a doctors note no less
than two weeks after your illness or injury. The note must be a signed
legitimate doctors note which includes the date of your visit and expected
recovery. It must state that you are unable to participate in an activity such
as dancing until your recovery date. Once this is completed you will receive
your letter of credit which must be used consistently starting no less than one
week after your recovery date.
~ Cancellations happen on rare occasions such as lack of enrollment or the
instructors illness. In such cases you will be notified as soon as possible by
email or phone. If you have paid for the cancelled class you will be refunded or
you can chose to apply your refund to an upcoming class or workshop.
~ I understand that all returned checks will be fined a $40 fee. I
understand that any merchandise that I damage is my responsibility and I will
pay for the item (s) in full.
By my signature, I do hereby stipulate that I am in physically, mentally, spiritually sound and healthy condition, and able to perform the activities/exercises conducted during any and all classes, training, workshops, private instruction and any other yoga, dance, massage, movement activity offered at BodyWorks By Chandani. I understand yoga, dance and other exercise classes involve a high level of physical activity and exertion and as with any form of exercise involve certain risks of injury, falls, muscle soreness, cardiovascular stress and accidents. I stipulate and agree that any and all activities which I participate in BodyWorks By Chandani or with any BodyWorks By Chandani staff are done solely at my own risk.
I do hereby release and hold
harmless today, or at any time in the past or future Bekah James, and any
other staff member of BodyWorks By Chandani from any liability for injuries or
damages to my persons or my property arising out of or connected with, the use
of services offered by Bekah James, or any other BodyWorks By Chandani
staff member. I do hereby and forever release by Bekah James, or any other
BodyWorks By Chandani staff members from all such causes of action.
What is your reason or goal for dancing?______________________________________
How did you hear about this class? Flyer, Website (please specify which website), friend,
other?
____________________________________________________________________
Do you have any physical conditions or problems I should know about? Such as
pregnancy, asthma, or any thing else that should be taken into consideration
before participating in dance?
____________________________________________________________________
____________________________________________________________________
Type of class registering for:
(i.e. Beginner, Belly Fit, Workshop, Tribal, etc) _________________
Start date and level of class
registering for: __________________________________
E-Mail
address________________________________________________________
Name_______________________________________________________________
Street Address________________________________________________________
City, State and Zip Code________________________________________________
Phone number________________________________________________________
Are you under 18 years of age?________________________
Class Level? Beginner, Intermediate, Advanced?
Styles
studied previously?_______________________________________________
DATE: __________________________
SIGNATURE OF PERSON ATTENDING CLASSES:
_____________________________________________
If person is under 18, the parent or guardian must sign.