ZANZIBAR STUDIO MAY 2008 MINI-SESSION REGISTRATION FORM
To ensure your space in a class, please complete and sign this form and mail it, along with your deposit,
payable to Zanzibar Studio, to:
Zanzibar Studio, 600 Georgia Ave., Suite B1, Chattanooga, TN 37402
For our May mini session, we ask that you send in the total amount for the class(es) or workshops you plan to take, so as to help us save time on the first night of class. Because of the large volume of registrations we receive, you will not receive a call from us unless the class you have registered for is full. If you do not hear from us, assume your spot is confirmed. If the class you wish to register for is full, we will notify you and invite you to join another class, or put your name on the waiting list. If no other class time works for you, your deposit will be returned.
PLEASE NOTE: Refunds given only if we are notified of cancellation BEFORE the first day of class.
please highlight or circle the class or classes you are registering for:
TRIAL INTRO CLASSES FOR NEW STUDENTS
$12 per class, or $30 for all 3
Tues May 13 5:30 - 6:45 pm
Tues May 20 5:30 - 6:45 pm
Tues May 27 5:30 - 6:45 pm
INTRO REVIEW (must have already taken one 8 week session of Intro)
$30 for 3 classes, $55 for 6 classes
Mon May 5, 12, and 19 7:15 - 8:30 pm
Wed May 7, 14, and 21 5:45 - 7 pm
BASICS REVIEW
(must have already taken one 8 week session on Basics)
$30 for 3 classes, $55 for 6 classes
Mon May 5, 12, and 19 5:45 - 7 pm
Wed May 7,14, and 21 7:15 - 8:30 pm
IN-STUDIO WORKSHOPS
$20 per workshop
YOGA WORKSHOP all levels Sun May 4 - 6 pm
SWORD WORKSHOP adv. beginner - intermediate level Thurs May 8, 6 - 8 pm
ZIL WORKSHOP Thurs all levels May 15, 5:30 - 7:30 pm
HAIR AND MAKE-UP WORKSHOP all levels Thurs May 22, 5:30 - 7:30 pm
PERCUSSION, ZIL, AND RHTHYMS WORKSHOPS with TOBIAS ROBERSON
$30 per workshops, $55 for 2, $75 for all three
Dancing to Middle Eastern Rhythms adv. beginner - intermediate level Thursday May 29, 6 - 8 pm
Zil Workshop all levels Saturday May 31, 12 - 1:30 pm
Drum Workshop all levels Satuday May 31, 3 - 5 pm
Don't forget to sign up for classes in June while you're at it! June is always a busy time of year at Zanzibar and classes fill up fast! You can fine the registration form for June classes by clicking here.
Please note that we will not be offering "unlimited classes" again until the next 8 week session starts in June.
Name:___________________________________
Email Address: ___________________________
Phone Number: _________________________
Street Address: ___________________________________
City: _____________________________
State:______ Zip Code:_____________________
How did you find out about us?______________________________________
If it was a brochure, where did you see it?_________________________
Please tell us about any known medical problems and past injuries you have: ________________________________________________________________________
________________________________________________________________________
I assume the risk of liability arising from my participation, or the participation of a minor child as their parent or legal guardian, with Zanzibar Studio and all instructors associated with said company. I agree to indemnify, hold safe and harmless against, and defend Zanzibar Studio, Andrea Perkins, employees, and instructors from any and all claims, costs, expenses, damage, and liability arising from or pertaining to my participation in this class. I further completely release Zanzibar Studio and participating instructors from any present or future legal responsibility for any negligence which may be found against them arising from my participation, or the participation of a minor child as their parent or legal guardian, in this class. I understand that I should speak with a medical professional before participating in any form of exercise, including any classes at Zanzibar Studio. I further understand that while Zanzibar Studio makes every effort to create a safe environment for everyone, that there is no security in effect in the studio and that Zanzibar Studio will not be held responsible for any damages incurred by the illegal actions of myself, another student, or a third party that happen in or near the studio. By signing this form, you understand and are agreeing to the terms listed above. A signed copy must be on file with the instructor before you begin attending class. It can be turned in at the beginning of the first class. For ongoing students, this waiver will be kept on file. It only needs to be signed once.
Signature:____________________________________________________
Parent / Legal Guardian Signature (if under 18):________________________
Name of minor:________________________________________________