N2 Dance

Registration

Fall 2023 Session: Aug 21^st - Nov 22^nd

Pre-registration deadline: Fri, Aug 18

(No registration fee if registration/payment received before this date)

If you have any questions regarding registration email us at info@n2-dance.com.

First Name of Student*

Last Name of Student*

Age (if under 18). If adult just write "adult"*

Parent Name (if under 18). If adult just write "n/a"*

Email Address (VERY IMPORTANT- main form of communication)*

Facebook Messenger Name (to be used for N2 Dance class group chats)

Phone # (Parents phone # if under 18)*

Teen Student Cell Number (ages 13-18)

Performing- Will you be performing in our Fall Musical production on Fri, Dec 1 and Sat, Dec 2?
Select an option

Yes
No

Classes*

Payment Method (must be received by pre-registration deadline to avoid late registration fee)
Select an option

Online Credit Card/Debit Card/Pay Pal payment (see below)
Check (Make payable to N2 Dance, write student name/classes on check, mail to: 3540 Lakimau Place, Hilo, HI 96720)

Who Can We Thank for referring you to us?

Liability Waiver: I certify that I am 18 years or older and am the student or legal guardian of the student registering on this registration form. I hereby assume the risk of any injuries and any loss of property that may occur while receiving instruction from or performing with N2 Dance. I will not hold N2 Dance, its instructors, or Paradise Performing Arts Center responsible for any personal injury or loss of property that may occur while receiving instruction from or performing with N2 Dance.*
Select an option

I agree with the above statement
I disagree with the above statement

Media Waiver: I give permission for photos of myself/my child to be used with out compensation by N2 Dance for web pages and/or promotional purposes*
Select an option

I agree with the above statement
I disagree with the above statement

Name of person filling out this form/ Relation to student

Student Mailing Address

Student School & Grade or Occupation

Additional Information, or Comments

After pressing "Submit" please proceed to the payment page (link on left) to make payment.