Community Class Registration & Liability Release Form

Community Class Registration & Liability Release Form

Modern Dance technique classes are open to all ages and offered at the Page Academy of Dance in Honolulu. Class takes place every Monday and Tuesday from 1:00 PM - 2:30 PM, drop-in students welcomed. Please complete this form in its entirety in addition to the COVID-19 waiver BEFORE attending class. Contact us at (808) 824-1151 or tau@taudance.org if you have any questions.
Student Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
I am interested in attending:

Class in-person ($20 per session) - LIMITED CAPACITY Class online via Zoom ($10 per session) 10 classes with a Class Pass ($175)
Email
example@example.com
Phone Number *
Please enter a valid phone number.
Emergency Contact *

First Name Last Name
Emergency Contact Phone Number *
Please enter a valid phone number.
Relation to Student *
Signature

Clear
Class registrations are considered complete once this form AND payment is received. Please make checks payable to "Tau Dance Theater." If you have any questions, contact us at Tau@taudance.org or visit our website at www.taudance.org. Mahalo!
Date form is completed *

Month Day Year
Date
Should be Empty: