Party Reservation Form

Belly Dance Party Reservation Form
This form should be completed after the date, time and location of the party has been agreed upon. Payment must also be completed before the reservation can be confirmed. Call Ellie at (847)864-6464 or email her to arrange your party first.

* Indicates required field

Contact person *

First

Last

Phone Number *

Email *

Agreed upon date and time *

Location of party *

Room to Move Studio Another location

Party Location (if other than Room to Move Studio) *

Line 1

Line 2

City

State

Zip Code

Country

Number of Participants *

Cancellation Policy *

Cancellations must be made one week in advance to receive a full refund. Cancellations made in less than one week will result in a partial refund of $100. Cancellations can be made by calling Ellie at (847)864-6464.

Agreement *

Ellie will arrive 15 minutes prior to agreed upon time to prepare music, unpack hip scarves, and change attire. Party will begin and finish at agreed upon time. Additional fees (parking, traveling, etc) must be paid in cash upon arrival.

Waiver *

By checking this box I certify that all participants are in good health and capable of participating in the Belly Dance Party. I hereby release Bodyscapes and its representatives from all liability for personal injury, illness, or property loss or damage.

Submit

Belly Dance Party Reservation FormThis form should be completed after the date, time and location of the party has been agreed upon. Payment must also be completed before the reservation can be confirmed. Call Ellie at (847)864-6464 or email her to arrange your party first.

Belly Dance Party Reservation Form
This form should be completed after the date, time and location of the party has been agreed upon. Payment must also be completed before the reservation can be confirmed. Call Ellie at (847)864-6464 or email her to arrange your party first.