2021 KCSAHDA Membership

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Please complete this form for your 2021 Kansas City St. Andrews Highland Dance Association membership. You will need to complete one form per member.

Deadline is January 31, 2021.

If you are paying for multiple memberships, you only need to click on the payment link once and make ONE final payment (please indicate the names of all the members you are registering in a "note" on the payment).

However; you do need to fill out the membership form for EACH member you are registering for 2021.

Email *

Member Name (First and Last) *

Member Birthdate (Year optional) *

YYYY

Membership Type *

Associate ($10)

Full ($20)

Dancer/Teacher ($20)

Dancer Level (If applicable)

Primary

Beginner

Novice

Intermediate

Premier

Clear selection

Member's Teacher (If dancer)

T-Shirt Size (ordered for full members and dancer/teacher members only)

XXL

Other:

Clear selection

Address (Street, City, State, Zip) *

Preferred Phone Number *

Guardian Name (If member is under 18)

Guardian Preferred Email (If different from member)

May we publish your contact information in a directory for members? *

Yes

I agree that KCSAHDA can publish photographs of you/your child(ren) in publications such as the website, social media, newsletter, event programs, and news releases. I understand that names will not be used to identify dancers on the website or social media unless permission is given. *

Yes

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