Dancer's Name *

First Name

Last Name

Dancer's Birthday *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent 1 *

First Name

Last Name

Parent 1 Primary Phone *

(###)

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Parent 1 Secondary Phone

(###)

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Parent 2

First Name

Last Name

Parent 2 Primary Phone

(###)

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Parent 2 Secondary Phone

(###)

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Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

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Participant Healthcare Provider Phone *

(###)

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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

I understand and agree.

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

I understand and agree.

KDA Studio Policies: TUITION AND PAYMENTS *

By checking this box, I am electronically signing that I have read, understand, and agree to Kailua Dance Academy's Studio Policies regarding TUITION AND PAYMENTS

I understand and agree.

KDA Studio Policies: MISSED CLASSES AND MAKEUP CLASSES *

By checking this box, I am electronically signing that I have read, understand, and agree to Kailua Dance Academy's Studio Policies regarding MISSED CLASSES AND MAKEUP CLASSES.

I understand and agree.

KDA Studio Policies: PERFORMANCES *

By checking this box, I am electronically signing that I have read, understand, and agree to Kailua Dance Academy's Studio Policies regarding PERFORMANCES.

I understand and agree.

KDA Studio Policies: COMMITMENT *

By checking this box, I am electronically signing that I have read, understand, and agree to Kailua Dance Academy's Studio Policies regarding COMMITMENT. Withdrawals from any KDA Program must be submitted in writing in order for a dancer's place in class to be released along with any applicable tuition obligations.

I understand and agree.

Registering for Class: KEIKI BALLET

Keiki Ballet I: Monday 3:00-3:30

Keiki Ballet I: Saturday 9:00-9:30

Keiki Ballet IA: Thursday 3:00-3:45

Keiki Ballet IA: Saturday 9:45-10:30

Keiki Ballet II: Monday 3:15-4:15

Keiki Ballet II: Wednesday 3:00-4:00

Keiki Ballet II: Sunday 9:00-10:00

Registering for Class: CHILDREN'S CLASSICAL BALLET

Ballet I: Monday 3:30-4:30

Ballet I: Sunday 10:15-11:15

Ballet IA: Monday 4:30-5:30

Ballet IA: Tuesday 3:30-4:30

Ballet II: Wed/Fri 4:15-5:15/3:45-4:45

Ballet IIA: Tues/Fri 5:00-6:15/3:45-5:00

Ballet III: Mon/Tues Thurs 4:15-5:30/5:00-6:15/3:45-5:15

Ballet IIIA: Mon/Thurs/Fri 5:30-7:00/3:45-5:15/5:00-6:30

Ballet IV: Tues/Wed/Thurs/Fri 3:45-5:15/5:15-6:45/5:15-6:45/5:00-7:00

Ballet IVA: Tues/Wed/Thurs/Fri 3:45-5:15/5:15-7:15/5:15-6:45/5:00-7:00

Ballet V: Mon/Tues/Thurs/Sat 5:30-7:30/4:30-6:45/4:45-7:30/10:30-12:30

KDA Company: Mon/Tues/Thurs/Sat 5:30-7:30/4:30-6:45/4:45-7:30/10:30-1:00

Registering for Class: DANCE ENRICHMENT

Family Yoga: Monday 11:45-1:00 (non-performing class)

Dance With Me (Ballet): Monday 10:00-10:45 (non-performing class)

Homeschool Ballet: Monday 10:45-11:45 (non-performing class)

Tap (Grade 2-5): Friday 3:45-4:45

Jazz (Grade 2-5): Friday 4:45-5:45

Contemporary (Grade 6+): Friday 6:00-7:00

Dance With Me (Creative Dance): Wednesday 9:30-10:15 (SPRING SEMESTER ONLY)

Keiki Dance: Wednesday 10:30-11:30 (SPRING SEMESTER ONLY)

Tuition Discounts: Please select all that apply to you

Full Tuition Discount (10% off): I would like to pay tuition for the 2024-2025 School Year by August 1.

Multi-Class Discount (5% off): I am registering siblings OR I have a dancer signing up for more than one class

Do-It-All Dancer (10% off): I am registering my dancer for ALL OF THE FOLLOWING: Friday Tap, Friday Jazz, and a Ballet Technique Class. CANNOT BE COMBINED WITH THE MULTICLASS DISCOUNT

Dance With Me Sibling (20% off): I am registering two or more siblings for Dance With Me. CANNOT BE COMBINED WITH THE MULTICLASS DISCOUNT