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Kacaaki Dance Class Signup
Use this form to sign up for Dance class
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* Required
Email
*
Your email
Who are you signing up for? (Minimum Age 5)
*
My Child
My Child (Sibling)
Myself
Someone Else
Name of the Student
*
Your answer
Age of Student
*
Your answer
Name of Parent/Guardian (if signing up for child)
Your answer
Phone number
*
Your answer
City
*
Your answer
State
*
Your answer
Country
*
Your answer
Which dance are you interested in?
Nepali Classical Dance (Chariya, Kumari, Bajrayogini, Pancha Buddha, etc.)
Nepali Folk/Freestyle/Fusion Dance
Indian Classical Dance (Bharatnatyam, Kathak)
Bollywood Dance
How do you rate dancing skills? (0-none, 5-expert)
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0
1
2
3
4
5
Please choose session preference (each session is an hour)
*
Group class: 1 session per week
One-on-One class: 1 session per week
One-on-One class: 2 sessions per week
Two Siblings only: 1 session per week (at one-on-one price)
Two Siblings only: 2 sessions per week (at one-on-one price)
Please choose your preference for class? (Pick 3 best options- Your local time)
*
Monday evening
Tuesday evening
Wednesday evening
Thursday evening
Friday evening
Saturday morning
Saturday evening
Sunday morning
Sunday evening
Other:
Required
What is your goal for taking this class?
*
Your answer
How did you hear about Kacaaki?
*
Your answer
Do you have any other special requests or situations we need to know?
Your answer
Are you also interested in any other Nepal related classes?
Nepali language
Musical instruments
Other:
By submitting this form, you acknowledge that you have read and agree to the Terms & Conditions (
https://kacaaki.com/terms-and-conditions/
) & Privacy Statement (
https://kacaaki.com/privacy-policy/
)
A copy of your responses will be emailed to the address you provided.
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