Please fill out the below contract information in order to book a performance with us...
Please provide the following Contact Information:
Name Street Address Address (cont.) City State/Province Zip/Postal Code Phone E-mail
Please provide the following Event Information:
Type of Event Date of Event Performance Time Event Address Address (cont.) Event City Event State Event Zip Event Phone Event Contact E-mail URL
Please give detailed directions to the event location:
Performance Package
Please select the type of performance you wish to book: BellyGram BellyGram Deluxe Belly Dance Duet Belly Dance Deluxe Belly Dance Show Bravo Belly Dance Show Spectacular Belly Dance Show Extravaganza All Day Event Shimmy Special If there is any additional information needed or if you have any questions, please address them here:
Please select the type of performance you wish to book: BellyGram BellyGram Deluxe Belly Dance Duet Belly Dance Deluxe Belly Dance Show Bravo Belly Dance Show Spectacular Belly Dance Show Extravaganza All Day Event Shimmy Special
If there is any additional information needed or if you have any questions, please address them here:
Submitting this form constitutes agreement to the attached terms:
Attached Terms
Thank you for choosing Traveling Hips Belly Dance! We have just a few requirements and terms in order to make your performance as safe and enjoyable as possible.