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Dance Movement Academy — Application Request Form for Hickam AFB
Ok Thank you for your interest in our classes! Please fill out this pre-registration form to start the sign-up process.
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Email *
Student's Full Name:  *
Are you signing up a new or existing student?
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Student's DOB:
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DD
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YYYY
Does your child have any health or other concerns important to note?
Parent's Full Name:
 *
Parent's Email Address:
 *
Parent's Phone Number:
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Do you want to signup as a volunteer for SHOWS & EVENTS in 2026?
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DANCE CLASS(ES) YOU ARE INTERESTED IN:
 *
Please provide any additional questions or inquiries below and someone from our team will respond to you as soon as possible.
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If you require immediate assistance, please contact:
Di Rodin | DMA.KBG@gmail.com | (808) 479-3273
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