JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Ticket Purchase (SOLD OUT)
As of 10/9, all seats are reserved.
If you want to be on the cancelation list, please email me at akari@akaridance.com. If there's any cancellation, I will let you know.
Pre-purchase of a ticket is required.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Mobile Phone #
*
Your answer
Email Address
(Akari will email you confirmation; please email us at akari@akaridance.com if you have yet to receive one.)
*
Your answer
Please specify the number of tickets.
($20 per seat, and under two years old, sitting on a lap is free.)
*
Your answer
My total ticket cost will be
*
Your answer
I have paid the above admission fee total by using:
*
PayPal @
akariueoka@gmail.com
(Please choose "Friends & Family" as a type of payment instead of "Goods & Services.")
Venmo @Akari-Ueoka (Please do NOT turn on "Purchase Protection")
Zelle at
akariueoka@gmail.com
or 808-280-5729
How did you hear about this dance recital?
*
Your answer
Would it be okay to subscribe your email address to our newsletter (which is sent out only about once or twice a year)?
*
Yes
No, thank you
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms