Dance Movement Academy — Application Request Form for Hickam AFB

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Ok Thank you for your interest in our classes! Please fill out this pre-registration form to start the sign-up process.

Email *

Student's Full Name: *

Are you signing up a new or existing student?
*

NEW student interested in Dance Classes

Currently enrolled in Dance Class

Student's DOB:
*

YYYY

How old is the student? (Years and months)

Does your child have any health or other concerns important to note?

Parent's Full Name:
*

Parent's Email Address:
*

Parent's Phone Number:
*

Do you want to signup as a volunteer for SHOWS & EVENTS in 2026?

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Class Parent

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DANCE CLASS(ES) YOU ARE INTERESTED IN:
*

Adults Dance — Tuesday 7:00-8:00 PM ($63/month)

Adults Dance — Thursday 6:00-7:00 PM ($63/month)

Pink 1A: Pre-Ballet & Tap (ages 3.5-5) — Monday 4:20-5:00 PM ($56/month)

Pink 1B : Pre-Ballet & Tap (ages 3.5-5) — Tuesday 10:00-10:40 AM ($56/month)

Pink 1C: Pre-Ballet & Tap (ages 3.5-5) — Tuesday 4:20-5:00 PM ($56/month)

Pink 2: PreBallet & Tap (ages 5.5-7) — Monday 5:10-5:50 PM ($56/month)

Blue A: Ballet & Tap (ages 7-12) — Monday 6:00-6:50 PM ($63/month)

Ballet 1: Ballet Beginner (ages 6.5-12) — Tuesday 5:10-6:00 PM ($63/month)

Ballet 2 & 3: Ballet Intermediate to Advanced *2x / Week (ages 7-17) — Tues & Thurs 3:00-4:20 PM ($63/month)

The Mix A: Contemporary, Jazz, Lyrical, and Hip Hop (ages 7-17) — Tuesday 6:10-7:00 PM ($63/month)

Private Class: Technique & Performance — ages 7+ (1/2 hour $40, 1 hour $80)

Please provide any additional questions or inquiries below and someone from our team will respond to you as soon as possible.
*

If you require immediate assistance, please contact:

Di Rodin | DMA.KBG@gmail.com | (808) 479-3273

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