IN THE FORM BELOW ONLY ENTER INFORMATION YOU ARE
CHANGING.
EVERYTHING ELSE WILL BE TAKEN FROM YOUR EXISTING
TEACHER RECORD. To DELETE any text item in your current entry
(without a replacement
text) just enter a single blank (space) character in that item.
Please indicate what you teach (primarily):
CHANGED PERSONAL DETAILS (venue details
are entered further down)
NOT in CAPITALS please!!
*Name:
Leave this field empty if you wish to be
known only by your professional name
and/or *Professional Name:
Leave this field empty if it is the same as
"Name" above.
Country of
residence:
Other Country:
NOT in CAPITALS please!!
House/Flat number &
street
Town or Area
County, City or State
Postcode/Zip:
Telephone:
TEACHING VENUE DETAILS
Please indicate any changes to VENUE(s) you
provide teaching in. Please DON'T duplicate data across columns (e.g. by
putting CITY also in the TOWN column).
AT LEAST ONE VENUE IS
REQUIRED for
a valid teacher entry on the Register.
Venue Number
DAY
*COUNTRY
*COUNTY, State, Province or
City Borough
CITY, TOWN, or AREA and
Postcode/Zip
VENUE NAME
and STREET
Select all
days at the same venue
REQUIRED field
REQUIRED field
optional field
optional field
1 change delete
MonTueWed ThuFriSat Sun Phone me See website
Other
Country:
2 change delete
MonTueWed ThuFriSat Sun Phone me See website
Other
Country:
3 change delete
MonTueWed ThuFriSat Sun Phone me See website
Other
Country:
4 change delete
MonTueWed ThuFriSat Sun Phone me See website
Other
Country:
5 change delete
MonTueWed ThuFriSat Sun Phone me See website
Other
Country:
6 change delete
MonTueWed ThuFriSat Sun Phone me See website
Other
Country:
7 change delete
MonTueWed ThuFriSat Sun Phone me See website
Other
Country:
If it has changed, please describe the STYLE(s) of dance or
music
that you teach:
Which of the following CLASSES do you provide?
Regular weekly
classes
Half-day
workshops
Full-day or
weekend workshops
*How many YEARS have you been BELLY-DANCING or practising
your form
of dance or music?
*How many YEARS have you been TEACHING belly-dancing or
your form
of dance or music?
If you have a WEBSITE of your own, please enter the address here
(do
not enter the "http://"):
If your website address is on the
register (or entered above) you can check this box if you DO
NOT want your email address contained in the Register.
Please enter below any other
COMMENTSto appear in your register listing Do you wish these comments to REPLACE the comments
in your existing record ADD AT THE END of your existing
comments ADD AT THE BEGINNING of your existing comments
Enter Password : Re-enter Password :for validation check.
Thank you for completing the questionnaire. Please check all your entries
above thoroughly; and then left click on the Submit button below to send
it; or the Reset button to clear the form and start again.
When your entry appears on the site (at busy or holiday times, this can take
several weeks), please do check it carefully and submit an UPDATE to correct
any errors.
It is not a condition for inclusion, but if you do have your own website,
I would appreciate a reciprocal arrangement - either a reference to my
website
address or a link.
