Some of the following questions are optional, and are for our marketing purposes only.
Shoebox Studio NEVER shares our students' information for any reason.
Thanks for joining us and we look forward to seeing you in class!

Name:	Emergency Contact:
Email Address:	Emergency Contact Phone:
Phone Number:	Emergency Contact Relationship:
Mailing Address:	Where else do you regularly attend classes?
How did you hear about us?	How often do you attend fitness/dance/Pilates classes?
Friend Flyer Tribe Myspace Yelp Guardian SB Teacher Google Search Yellow Pages Walking By Promotion at Work Other	5-6 Days/wk 3-4 Days/wk 2-3 Days/wk 1 Day/wk Varies
If other, please explain?	What is your experience with dance and/or fitness?

I'm interested in (Please check all that apply):

Dance Pilates Fitness Bootcamp Performance Workshops Teen Programs Special Events Figure Drawing Classes Organic Box Produce Delivery

Anything else you'd like us to know?

You may pay for your class:
1. via the Google Checkout forms below
2. or through your Paypal account by sending payment to
shoeboxstudio at gmail dot com.
Please add $2 processing fee to your total. You will receive an email from us confirming your class card information and/or your space in the workshop(s) you select.)



10-Class Card
$130 for a 10-class card!
Come take a sample of our classes.
Please see our Rates page for more details.

Monthly Shoebox Discount Card
$120 for ShoeBoxers who take 3 or more classes a week

10-Week Summer Performance Workshops
($150 plus $2 Google Checkout)
Advanced Tribal Fusion Bellydance w/ Cera
American Cabaret Bellydance w/ Nanna
Dark Fusion Bellydance w/ Ariellah
Hip Hop Fusion w/ Cera
Fusion Bellydance Basics w/ Gibson

$150.00 - Advanced Tribal Fusion Bellydance w/ Cera $150.00 - American Cabaret Bellydance w/ Nanna $150.00 - Dark Fusion Bellydance w/ Ariellah $150.00 - Hip Hop Fusion w/ Cera $150.00 - Fusion Bellydance Basics w/ Gibson

Teen Summer Performance Workshops
($100 plus $2 Google Checkout)
Teen Hip Hop w/ Cera
Lyrical Jazz w/ Christina

$100.00 - Teen Hip Hop w/ Cera $100.00 - Lyrical Jazz w/ Christina

Thank you!