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Instructions

To sign up online for a Program or Workshop taking place at Belly Motions please complete the following information below. A major credit card will be needed to reserve a place in the Program or Workshop.

Please Note: Program & Workshop Registrations are non-refundable. Students registered for any Program or Workshop have a reserved spot in that class and are making a commitment to participate. For this reason, Programs and Workshops are non-refundable. Students may transfer from one Program session to another within the first three weeks, space permitting. Belly Motions must be notified and transfer must be acknowledged. Workshop transfers are not permitted.

Step 1 - Student Registration Information: (*All fields required)

*First Name:
*Last Name:
Home Phone Number:	- -
*Cell Phone Number:	- -
*Street Address:
*City:
*State:
*Zip:

*Email Address:
*Verify Email Address:

Step 2 - Program and Dates Selection

Instructions

Please select from the Program and Workshop options below. Complete all applicable Start Date, Time and Pricing information required in each Program and/or Workshop options you wish to register. Once submitted you will be contacted by a Belly Motions Associate.

A - Select your Program:

Beginner 1 8-Week ProgramNEW Students $150.00*
Beginner 1 8-Week ProgramRepeat Students $130.00
Beginner 2 8-Week Program $130.00
Intermediate 1 8-Week Program $130.00
Intermediate 2 8-Week Program $130.00
Workshop $

*Includes $20.00 Registration fee

B - Enter Program Start Date and Time:

	Example: Wednesday, September 17, 2009 6:30p.m.

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