Tribal Oasis Bellydance Festival
And Evening Show

February 21, 2009

REGISTRATION FORM

Name____________________ Dance Name _________________ Phone_______________ Email ___________________________
Address______________________________________________
City______________________State____________Zip_________

_____ Seamless Slow - with Gypsy Fire - Sunday 10am - 12:30 $30 before Feb. 1 and $40 after Feb. 1

_____ Festival Admission - $8.00 a person

_____ Evening Show Admission - $10.00 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 and Mystical Oasis and all workers any and all liability for loss or injury incurred in association with the workshop and performances.

Signature and date.___________________________