Pay through Paypal or mail in the registration form with a check. Please scroll down for form

PLEASE Scroll down and: FILL IN THE REGISTRATION FORM BELOW!!! Please read REFUND policy.
Early Belly Rate deadline: July25
Regular registration deadline: August 30th
Late registration: After august 30th
ASK ABOUT PAYMENT PLAN

Dancers (includes all workshops)

Early Belly Deadline 7/25/25 $295 Regular Belly Deadline 8/30/25 $325 Late 9/1/25 $375

Early Registration $295

Regular Registration $325

Late Registration $375

Dancers (3 days only)

Early Registration 3 days $265

Regular Registration 3 days $295

Late Registration 3 days $345

Early Belly Deadline 7/25/25 $265 Regular Deadline 8/30/25 $295 Late 9/1/25 $345

Non-Dancers (No workshops)

No workshops Early $195

No Workshops Regular $215

No Workshops Late $265

Early Deadline 7/25/25 $195 Regular Deadline 8/30/25 $215 Late 9/1/25 $265

Vendors $50 Fee in addition to the regular fee

Vendor Fee $50

Pay online with paypal to: mezdulene@mezdulene.com

REFUND POLICY
Retreat packages are non-refundable after purchase. If you are unable to attend, you may sell, transfer, or gift your space to someone else. Please let us know if you are unable to participate and who will be taking your place so we can keep our registration roster up to date. Thank you!

By completing my purchase, I understand and agree to the refund policy. I hereby release Mezdulene Reed/Bliss, Camp Myrtlewood, and all staff, instructors, and vendors associated with Mezdulene’s Belly Dance Retreat for any injuries or damage that may occur while I am attending Mezdulene’s Belly Dance Retreat.

Online registration:

Name

First Name

Last Name

Email Address

Phone number

Share cabin with:

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

This is a print and Mail registration:

NAME(S)________________________________

DANCE NAME______________________________

E-MAIL ADDRESS__________________________________________________

ADDRESS____________________________________

CITY/STATE/ZIP_________________________

PHONE_______________________________

YOUNG CHILD__ROWDY CABIN__QUIET CABIN__

I WANT TO BE IN CABIN WITH:_________________________________________________________

COST: Until July 25 Until August 30 After August 30

____Dancers (includes workshops).....$...........$…………$

____Dancers (3 days only).……….....$...........$…………$

____Daughters and Granddaughters...$….......$……….$

____Non-dancers (no workshops).…..$..…….$……….$

____Vending Space...................................................$50.00 plus regular fee

I am enclosing: $____________No Refunds (see Refund Policy)

Credit Cards Now Accepted ~ You must print this form and enter by hand. This is not an active link. Or click on the payment buttons above for an active credit card payment link.

Credit Card Number ________________________________________

Expiration ______________

Three digits on back of card__________ Billing Zip Code________________

You may also pay through paypal to mezdulene@mezdulene.com

Please remit checks to Mezdulene, P.O. Box 3145, Coos Bay, OR 97420. Questions? Call (541)-315-5550.

Early Belly Rate deadline: July25

Regular registration deadline: August 30th

Late registration: After august 30th