Teacher Details

Please select whether this is a NEW ENTRY, an UPDATE to existing details, or whether you wish to completely REPLACE your existing entry with a new one.
NEW entry UPDATE existing details REPLACE existing details

Please indicate what you teach.  Teachers of dance that do not specialise in belly dance may join the register provided that they do occasionally teach belly dancing or a closely related dance-form such as arabic flamenco.  Teachers of music may join the register if they teach music, such as drumming or Egyptian flute, for the primary purpose of accompanying belly dancers.  Please use the Comments section at the end to expand on your teaching priorities.

Belly Dance teacher Drumming teacher Multi-dance teacher Other music teacher

	PERSONAL DETAILS (venue details are entered further down)
Either *Name:
and/or *Professional Name:
Country:	England Northern Ireland Scotland Wales Finland France Germany Hungary Ireland Italy Latvia Lebanon Mexico The Netherlands Slovenia Spain Switzerland Turkey USA Other Use the down arrows to scroll down then left click on your country name to select it. If your country is not listed, select "Other" at the bottom of the list and type your country name in the box below.
Postcode/Zip:	Note: do not enter this unless you wish it to be displayed in your website listing
Remainder of address:	Note: do not enter this unless you wish it to be displayed in your website listing
Telephone:	Note: do not enter this unless you wish it to be displayed in your website listing
Fax:
*Email:

*Entries must contain a valid e-mail address.  I check these regularly and, if an e-mail address becomes invalid, the teacher entry is deleted; so PLEASE remember to advise me if you change your e-mail address!  No other contact data is mandatory and you should be aware that telephone or personal address information can lead to unwanted attention from persons other than genuine students.  If you wish to show a postal address, I recommend that you get a PO Box.

Please indicate what VENUE(s) you provide teaching in.  Note that I cannot undertake to update information which changes frequently such as class days, times, fees, etc., and I may reject your entry if you insert this information.  If you have more than 2 venues, you can include the details of the others within the "Comments" section at the end of this form (please DON'T fill in a second questionnaire form as this will overwrite the first one!). Alternatively, if 2 or more of your venues are in the same Town, you can enter multiple venue names in the relevant boxes.

FIRST VENUE *Country:	England Northern Ireland Scotland Wales Finland France Germany Hungary Ireland Italy Latvia Lebanon Mexico The Netherlands Slovenia Spain Switzerland Turkey USA Other Use the down arrows to scroll down then left click on your country name to select it. If your country is not listed, select "Other" at the bottom of the list and type your country name in the box below.
*County, Area or State:	ONE COUNTY OR STATE ONLY.   A second county or state can be entered below under "Second Venue". If there is no county/area/state (e.g. London, Istanbul, Amsterdam, etc.), enter the city HERE and NOT under "City or Town" below. Please note that your entry will appear in alphabetical sequence by county, so if you enter "South Lancashire", it will appear under "S", NOT under "L"!
City or Town:	ONE TOWN ONLY.  A second town can be entered below under "Second Venue".   If you entered your City name under "County" above, then if you wish you can enter area or postcode here (e.g. "Sydenham" or "SE23")
First Venue name:	e.g. "The Studio, Beckenham Road" Please don't enter town or any other info already entered above! Multiple venue names can be entered (seperated by commas) provided that they are all in the SAME TOWN.
SECOND VENUE Country:	No second venue England Northern Ireland Scotland Wales Finland France Germany Hungary Ireland Italy Latvia Lebanon Mexico The Netherlands Slovenia Spain Switzerland Turkey USA Other Use the down arrows to scroll down then left click on your country name to select it. If your country is not listed, select "Other" at the bottom of the list and type your country name in the box below.
County, Area or State:	ONE COUNTY OR STATE ONLY (If you have classes in 3 or more counties or states, you can mention this in the Comments field below).   If there is no county/area/state (e.g. London, Istanbul, Amsterdam, etc.), enter the city HERE and NOT under "City or Town" below. Please note that your entry will appear in alphabetical sequence by county, so if you enter "South Lancashire", it will appear under "S", NOT under "L"!
City or Town:	ONE TOWN ONLY.  A second town can be entered below under "Second Venue".   If you entered your City name under "County" above, then if you wish you can enter area or postcode here (e.g. "Sydenham" or "SE23")
Second Venue name:	e.g. "The Priory Leisure Centre, Tintagel Road" Please DON'T enter town or any other info already entered above! Multiple venue names can be entered (seperated by commas) provided that they are all in the SAME TOWN.

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 practicising your form of dance or music?
Less than 5 5-10 11-15 More than 15

*How many YEARS have you been TEACHING belly-dancing or your form of dance or music?
Less than 5 5-10 11-15 More than 15

If you have a WEBSITE of your own, please enter the address here (do not enter the "http://"):

Please enter any other COMMENTS below (e.g. text that you would like to have added to your listing to describe your particular skills or specialities). Please note that we cannot undertake to maintain frequently changing information such as dates of your workshops or days/times/fees for your classes, so PLEASE DO NOT ENTER THIS TYPE OF INFORMATION - IT WILL CAUSE ALL OR PARTS OF YOUR ENTRY TO BE DELETED.  The contents of this box (edited if necessary) will appear on your website entry, so please only use it for information you wish to display to the world!  If you wish to comment about my website or you have any queries, please e-mail me direct ([email protected]).

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.  

You will be sent a confirmation when your entry appears on the site (at busy times, this can take several weeks).  Please do check it carefully and let me know if there are 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.  Once your information has been put onto my site, I will send you the code to create a link to my site, should you wish to use this facility.

Some forms-capable browsers can transmit forms directly by e-mail (if they are online at the time); others will use your e-mail client program (e.g. Outlook or Eudora); so make sure that your e-mail program is running before pressing the "Submit" button.  If you are permanently online (e.g. broadband, or using a PC at work), then check your "SENT" folder after submitting it to make sure that it transmitted OK.  If you are not permanently online, check to see if you have a generated mail message in your Outbox, which you will then need to "SEND" as a normal e-mail when you are next on-line.

Please note: If you experience any difficulties responding to this form, (or if you are not using a forms-capable browser) you may be able to fax it (use, FILE, PRINT, select Microsoft Fax as the printer, enter "Jacqueline" in the name and "020 8300 7616" in the fax number), or print it off, complete any missing fields and post or fax it to me.