Send this in to register your interest.
Please refer to the timetable for what is next being offered.
Once there is enough people interested for a course at a particular day & time you will be contacted.

Courses may be cancelled if sufficient deposits have not been received before the first class. In thay case, those that have paid a deposit will have the option of having it refunded or keeping it for the next course.

Click here for the full refund policy.

Preference will be given to those who have paid.

Payment will be required on or before the first class.
(enrolled price: Intro - $100/$80, NextSteps $40)

I have posted a cheque for $.......

made out to Kashmir to:

c/o PO Box 18902,
New Brighton
Christchurch 8641

I have deposited $.......

to Kashmir at KiwiBank 38 9003 0698548 00









Preferred contact method:(please indicate)
 regular mail
 phone (only if you have messaging)

I'm interested in (tick one):
  Introduction to Middle Eastern Belly Dance 
  Next Steps - give experience:



For (tick days/times you would be interested in):
  Monday   6pm
  Monday   7pm
  Tuesday    6pm
  Tuesday    7:30pm
  Wednesday    6pm
  Wednesday    7pm
  Thursday    6pm
  Thursday    7:30pm
  Saturday    11am
  other (please specify)

  other (please specify)

Restrictions (eg not before 6:30pm, not December 1-January 31)




Next Steps only - particular interests





Where did you hear about the classes?

Previous dance experience (if any):






Any questions or information relevant to course: