Bellydance by Raena
HOME
MEET RAENA
GALLERY
PHOTOS
VIDEOS
TAKE LESSONS
MCKINNEY TX CLASSES
WORKSHOPS
COMMON QUESTIONS
BENEFITS OF BELLYDANCE
HIRE RAENA
CONTACT
& PAYMENT
CALENDAR
PERSONAL TRAINING
Boring Legal Stuff
BLOG
Privacy Policy
Terms of Service
*
Indicates required field
Student Name
*
First
Last
[object Object]
Cell Phone #
*
Best email for class communications
*
How did you hear about classes?
*
Have you taken bellydance classes before? Who? Where? Style? Describe:
*
Do you have any health concerns or injuries that may limit your participation?
Check concerns:
*
Cardiovascular, including fainting, dizziness, low blood pressure?
Back, neck or head pain/injuries?
Knee or shoulder limitations?
Surgery or serious illness within the last year?
Pregnancy?
Long term health conditions ( diabetes, asthma, osteoporosis, etc)
Medications, such as Beta-Blockers
Nope! I'm healthy as an ox!
If you checked any boxes, please go into more detail here so I'm informed of any concerns and offer modifications.
*
If you prefer, call Raena to expand on any of the above conditions that apply to your personal health situation. Online fitness and dance classes are a wonderful option but impacts hands-on teacher observations and easy, instant communication between teacher and students. Always communicate, during class, when something is painful, or even uncomfortable, or not possible to do because of your limitations. There are ALWAYS options and Raena is happy to pause class and address concerns to keep you healthy and having fun.
Ideally, you should consult your doctor before joining any fitness class to make sure it's safe for your personal situation. If you experience any changes in your health after starting classes, it is your responsibility to consult with Raena for help with modifications.
Emergency Contact Name
*
First
Last
Emergency Contact #
*
An emergency contact may seem strange for an online class but, if you appeared to become unresponsive or fall during an online session, Raena wants a way to send help your way immediately.
Thank you for taking the time to help me ensure you have a positive bellydance experience!
Submit
HOME
MEET RAENA
GALLERY
PHOTOS
VIDEOS
TAKE LESSONS
MCKINNEY TX CLASSES
WORKSHOPS
COMMON QUESTIONS
BENEFITS OF BELLYDANCE
HIRE RAENA
CONTACT
& PAYMENT
CALENDAR
PERSONAL TRAINING
Boring Legal Stuff
BLOG
Privacy Policy
Terms of Service