Hula In The Upstate Registration

Hula In The Upstate Registration

MONTHLY TUITION $75 for first Participant. $60 Each Additional Family Member Participant listed below. Invoices will be sent to the email listed below a week prior to the due date (1st of every Month). Please remember we will have ONLY 4 Classes a Month, and if the Month has 5 Practice Days, we will have a bye week with NO Class on the 5th Class. Please see HULA CALENDAR for updated class information.
Adult/Responsible Party Full Name

First NameLast Name
Adult/Responsible Party Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Adult/Responsible Party Email
example@example.com
Adult/Responsible Party Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of Participants
Enter the total number of participants.
Participant (1) Information
Participant Full Name

First NameLast Name
Age
Birthday

MonthDayYear
Level of Hula Experience
Alternate Pickup Name (Indicate N/A if not applicable)

First NameLast Name
Alternate Pickup Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Pickup Relationship
Participant (2) Information
Participant (2) Full Name

First NameLast Name
Age
Birthday

MonthDayYear
Level of Hula Experience
Participant (3) Information
Participant (3) Full Name

First NameLast Name
Age
Birthday

MonthDayYear
Level of Hula Experience
Additional Participants
Payment & Class Information
- Monthly tuition is due by the 1st of each month.
- Tuition covers 4 classes per month (once weekly).
- If a month has 5 Hula class days, the class calendar will indicate which week is a bye (A'Ole) week.
- An invoice will be emailed to the above email address prior to the 1st of the month.
- A Class Calendar Link will be emailed with information for class communication and practices.
- To not disturb class while in session, please arrive 15 min early with any questions or attire assistance
How would you like to be invoiced?
Additional Information Box (Examples: Allergies, Mobility Issues, Etc) Indicate NA if Not Applicable.
I understand that Payment must be made PRIOR to class. Also, waivers must be signed and will be emailed and available at practice for signinng prior to participation.
Place to Sign
Should be Empty:

Hula In The Upstate Registration

Participant (1) Information

Participant (2) Information

Participant (3) Information