Dancer's Name *

First Name

Last Name

Dancer's Birthday *

MM

DD

YYYY

Parent/Guardian Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone 1 *

(###)

###

####

Phone 2

(###)

###

####

Emergency Contact *

First Name

Last Name

KDA Liability Waiver & Talent Release *

By checking this box, I am electronically signing that I have READ, UNDERSTAND, AND AGREE TO Kailua Dance Academy's Liability Waiver and Talent Release

KDA Studio Policies *

By checking this box, I am electronically signing that I have READ, UNDERSTAND, AND AGREE TO Kailua Dance Academy's Studio Policies.

Tuition: Upon receiving registration, KDA will send a tuition invoice within 48 hours. Please note that a dancer's spot in camp can only be reserved when we receive a tuition payment. *

I understand.