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Hālau Makana 2021 Registration Form
Aloha and E Komo Mai (welcome). We are so excited that you are interested in our classes. Please fill out this form to register for your online Zoom class(es).
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* Indicates required question
Name of student (First and Last)
*
Your answer
Name of parent (if student is 17 or younger)
Your answer
Birth Date (mo/day)
*
Your answer
Address (include city & zip code)
*
Your answer
Phone #
*
Your answer
Email (you will receive a confirmation email after registration and payment)
*
Your answer
Class(es) you want to sign up for
*
Fall Introduction Keiki Course ($100)
Fall Introduction Adult Course ($100)
Thursday 'Ori Competition Training ($10)
Thursday 'Ori Basics ($10)
Aloha Friday Hula Basics ($10)
Saturday Polynesian Dance Conditioning ($10)
Required
I would like an in-person spot (in-person spots are limited and not guaranteed. If you check 'yes' your name will be placed on a list based on first come first serve. You will be notified in your confirmation email if you hold an in-person spot)
*
Yes
No
I agree to follow all Hālau Makana COVID-19 safety regulations if taking in-person classes:
*
Yes
Dance/Drumming/'Ukulele Experience?
*
Dance
Drumming
'Ukulele
Other:
How did you hear about us?
*
Your answer
Payment Methods (please let us know how you plan to pay)
*
Website (
www.HalauMakana.com/payments
)
Venmo (@lani-cid-iulio)
Paypal (
halaumakana.alameda@gmail.com
)
Personal Check (Make to: Halau Makana, Mail to: 1122 Lincoln Ave. Alameda, CA, 94501)
Other:
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