Booking Request Form

Please note that Rina is a family friendly performer and will not dance at bachelor parties or for any other all male audiences. Check out Hiring a Belly Dancer for more information.

Your Name (required)

Your Email (required)

Phone Number (required)

Best time to call?
 Mornings Afternoons Evenings Weekends Anytime

Event Date

Event Time

Event Location

Type of Event
 Birthday Party Bachelorette Party Group Private Lesson Wedding Other

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