REGISTRATION FORM
Donna Mejia Workshops – Cape Town 2012
6-9th July 2012
Hosted by Soma Fusion Bellydance Company and Donna Mejia
Venue: Curvespace Studios, 25 Church Street, Woodstock, Cape Town
Name:
Surname:
Email:
Tel:
Dance style and years of experience:
If you are with a particular dance school, please state it here:
www.soma.co.za . info@soma.co.za . 0823593333 . 021 422 4584
Please indicate which workshops you will be attending by deleting the ones you
WILL NOT be attending.
Workshops:
Venue: Curvespace Studios, 25 Church Street, Woodstock, Cape Town
Each workshop is 2 hrs @ R330
see further down for discount specials and packages
Saturday 7th July 2012
11.45am - 1.45pm
Clarifying Technique: The Art of Refinement and Physical Integrity
R330
Saturday 7th July 2012
2.30pm - 4.30pm
Beyond Stationary Practice: Near Eastern/Electronica Fusion in Full-Blown
Motion
R330
Sunday 8th July 2012
10.15am - 12.15pm
Beyond Stationary Practice: Near Eastern/Electronica Fusion in Full-Blown
Motion
2nd installation
R330
Sunday 8th July 2012
1pm - 3pm
Movement Workshop 4 : Le Funk Arabi (L1 / L2)
R330
Monday 9th July 2012
6pm - 8pm
www.soma.co.za . info@soma.co.za . 0823593333 . 021 422 4584
Cross Training for Fusion Dancers: Silvestre Technique with Donna Mejia (int/adv
only)
R330
Lecture:
Venue: Erin Road Hall, Erin Road, Rondebosch
Saturday 7th July 7pm - 9pm
R50
Award Winning keynote lecture: “Digital Diasporas and Transnational Dance
Communities: The Effects of the Internet on Identity Formation and Collective Cultural
Memory.”
Packages:
All 5 workshops (lecture free)
R1420 (save R280)
Out of towner special
4 workshops (lecture free)
R1270 (save R100)
Please state where you are coming from:
Please calculate and write the amount you will be paying:
Payment:
Full payment is required on returning of this registration form to secure your booking.
Payments are non refundable, as there are limited spaces in the workshops. Once
payment is reflected in the account, a confirmation email will be sent to your address.
You can pay by either:
Direct Bank Deposit / Online bank transfer
www.soma.co.za . info@soma.co.za . 0823593333 . 021 422 4584
BANK DETAILS:
Marissa Cuenoud, CAPITEC Bank, Branch Code: 470010, Account Number:
1197119890, Savings Account
Please put your name and surname as reference and email proof of payment to:
info@soma.co.za
www.soma.co.za . info@soma.co.za . 0823593333 . 021 422 4584
TERMS AND CONDITIONS
Availability: Bookings are subject to availability. Space is limited
Payments: Your booking is secure once full payment for the workshop has been made
Cancellations: If we cancel a workshop, fees will be refunded or an alternative workshop may be offered.
No refunds are available if you wish to not attend the workshops after payment has been made, however
you are welcome to send another dancer in your place to attend the workshops, please inform Marissa
Cuenoud on info@soma.co.za of this arrangement if you wish to do so.
Punctuality: You are requested to arrive at least 15 minutes before the start of workshops for registration
Video Cameras: No filming of any part of the workshops or show is allowed unless Donna Mejia states
that it is fine to do so. Photographs with Donna Mejia are reserved for after the workshops. No flash
photography allowed during the performances.
WAIVER AND RELEASE OF LIABILITY
Name of Event: Donna Mejia Workshops – Cape Town 2012
Date of Event: 6-9th July 2012
Hosted by Soma Fusion Bellydance Company and Donna Mejia
Venue: Curvespace Studios, 25 Church Street, Woodstock, Cape Town
I do hereby release and forever discharge Soma Fusion Bellydance Company and Donna Mejia from any
and all claims, demands, actions, causes of action, judgments, expenses, injuries to person(s) or property
sustained or incurred in connection with, or as a result of my participation in, the aforementioned event. I
agree to hold Soma Fusion Bellydance Company and Donna Mejia wholly harmless for any and all
liability, loss, expense, or damage it may incur by virtue of allowing me to participate in the
aforementioned event.
I sign this fully realizing that my participation or engagement in the activities of aforementioned event may
subject me to personal injury or bodily harm. I understand that dance is a physical activity and injuries
may occur. I further have read the foregoing and fully understand the contents of their release indemnity.
I, the undersigned, ……………………………………………………………. , have read the foregoing,
understand the same and do hereby accept and agree to the terms, conditions and provisions of the
foregoing Release Indemnity on behalf of ourselves, intending to be legally bound hereby.
Signature: …………………………………………………………….
Date: ………………………………………………………………….
www.soma.co.za . info@soma.co.za . 0823593333 . 021 422 4584