Since we need a Signature on our applications, please print out Application Form and fax or mail your application to us.
Mahalo
Student Name ___________________________________________________________
Date of Birth ____________________________________________________________
Years of Dance Study
Ballet ___________ Modern ____________
Jazz ___________ Other ______________
Parents Name(s) ________________________________________________________
Mailing Address _________________________________________________________
______________________________________________________________________
City/State/Zip ___________________________________________________________
Phone/FAX _____________________________________________________________
SUMMER SESSION FEES
A $100 deposit must accompany application.
Payment made by:
[ ] Enclosed check payable to West Hawaii Dance Theatre
[ ] Visa or Mastercard: Expiration Date ______________________________________
Card Number __________________________________________________________
Exact Name on Card ____________________________________________________
Cardholder Signature ____________________________________________________
[ ] Please find my videotape enclosed
[ ] I will submit my videotape by the March 30 deadline.
Housing -- Kona
West Hawaii Dance Theatre does not provide housing.
[ ] Please send me information on lodging in Kona.
Class size is limited to ensure enrollment, submit form and deposit or full fee soon.
West Hawaii Dance Theatre
74-5626 Alapa Street Bay 15, Kailua-Kona, HI 96740
Tel:(808) 329-8876 FAX: (808) 329-1033 Contact us...
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