Dancer's Name *

First Name

Last Name

Dancer's Birthday *

MM

DD

YYYY

Parent Name *

First Name

Last Name

Phone *

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Requested Class Date *

Please note that this is a request only, and we will do our best to accommodate.

MM

DD

YYYY

For those scheduling a Trial Class, there is a $25 participation fee that gets credited towards tuition upon signing up for the class. *

I understand.

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

KDA Liability Waiver and 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 Form