2021 KCSAHDA Membership
Please complete this form for your 2021 Kansas City St. Andrews Highland Dance Association membership. You will need to complete one form per member.
Deadline is January 31, 2021.
If you are paying for multiple memberships, you only need to click on the payment link once and make ONE final payment (please indicate the names of all the members you are registering in a "note" on the payment).
However; you do need to fill out the membership form for EACH member you are registering for 2021.
* Required
Email address
*
Your email
Member Name (First and Last)
*
Your answer
Member Birthdate (Year optional)
*
MM
/
DD
/
YYYY
Membership Type
*
Associate ($10)
Full ($20)
Dancer/Teacher ($20)
Dancer Level (If applicable)
Beginner
Novice
Intermediate
Premier
Clear selection
Member's Teacher (If dancer)
Your answer
T-Shirt Size (ordered for full members and dancer/teacher members only)
XS
S
M
L
XL
XXL
Other:
Clear selection
Address (Street, City, State, Zip)
*
Your answer
Preferred Phone Number
*
Your answer
Guardian Name (If member is under 18)
Your answer
Guardian Preferred Email (If different from member)
Your answer
May we publish your contact information in a directory for members?
*
Yes
No
I agree that KCSAHDA can publish photographs of you/your child(ren) in publications such as the website, social media, newsletter, event programs, and news releases. I understand that names will not be used to identify dancers on the website or social media unless permission is given.
*
Yes
No
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