Tribal Oasis Bellydance Festival
And Evening Show

February 16-17, 2008

REGISTRATION FORM

Name____________________ Dance Name _________________ Phone_______________ Email ___________________________
Address______________________________________________
City______________________State____________Zip_________

_____ Sword Secrets & Drama - with Mezdulene - Saturday 10am - noon: $30 before Feb. 1 and $40 after Feb. 1

_____ Gothic Belly Dance - with Marjhani - Saturday 12:15pm - 2:15pm: $30 before Feb. 1 and $40 after Feb. 1

_____ Seamless Slow - with Gypsy Fire - Sunday 10am - noon: $30 before Feb. 1 and $40 after Feb. 1

_____ Pops and Locks - with Marjhani - Sunday 12:15pm - 2:15pm: $30 before Feb. 1 and $40 after Feb. 1

_____ All Workshops - $120 before Feb. 1 and $160 after Feb. 1

_____ Saturday Festival Admission - $8.00 a person

_____ Total Enclosed

Please make checks payable to Jareeda, PO Box 680, Sutherlin, OR 97479
Prepaid registration and show tickets will be held at the door.

I do hereby release Jareeda, Mezdulene, Mystical Oasis, Seven Feathers Hotel and Casino Resort and all workers any and all liability for loss or injury incurred in association with the workshop and performances.

Signature and date.___________________________