KMA Registration Form

Spring 2026 New Student Registration

February 9 - May 2, 2026 | kmaperformingarts.com
Student Info
Student's Name*

First NameLast Name
Student's Preferred Name
Email (Please input parent or guardian's for student is under 18)*
example@example.com
Phone Number (Please input parent or guardian's for student is under 18)*
Please enter a valid phone number.Format: (000) 000-0000.
Parent's Full Name (if student is under 18)

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Current Age*
Must be 5 years or older
Student's Birthdate*

MonthDayYear
Date
FemaleMale
Family/FriendSocial MediaGoogle SearchAt an eventOther
- Emergency Contact
  
  At least one emergency contact is required
- Name*
  
  First NameLast Name
- Relationship to Student*
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Email*
  example@example.com
- Name
  
  First NameLast Name
- Relationship to Student
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- Personal Information
- YesNo
- If yes, what are they?
- Student's Background
- No ExperienceLess than 1 Year1-2 Years3-4 Years5 + Years
- No ExperienceLess than 1 Year1-2 Years3-4 Years5 + Years
- Please list any other experience student has had within the performing arts. This includes but is not limited to singing, dancing, or acting. And for how long
- Please Upload Photo of Student*
  
  Cancelof
- Academy Fees
- $15 - One-time Registration Fee
  
  $50 plus tax - Monthly Academy Tuition (Due at the beginning of each month)
  
  Registration fee and Tuition must be paid at the first class
  
  Payment options:
  - Cash
  - Check made out to Island Breeze Ministries
  - Venmo (additional fees added)
  Family Discount Available when two or more family members are enrolled into a class.
- All students are required to wear an Academy t-shirt to practice and rehearsals. Please provide the student size below. Students' first shirt will be provided and any additional shirts must be purchased.
  
  If we donʻt have student size in stock, we will have to place an order. The student can then wear any black t-shirt to practice until they receive their shirt.
- Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XLAdult XXLAdult XXXL
- All the personal information you provided is private and can be accessed or corrected by you.
  
  PLEASE READ TERMS & CONDITIONS
  
  By signing below you acknowledge that you have read the terms and conditions & media release and understand the expectations and obligations set by Kamakani O Ka Moku ‘Aina Performing Arts Academy. Failure to follow the rules and guidelines may result in appropriate disciplinary action or termination of enrollment with KMA.
- Signature*
  
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Spring 2026 New Student Registration

Student Info

Emergency Contact

Personal Information

Student's Background

Academy Fees