Adult Student Form

Name(required)

Class Day & Time

Cell Phone

I accept text messages

Email

Home Address

Mailing Address (if different)

Occupation

Website

Spouse's Name

Spouse's Occupation

Emergancy contact name and number

Year started hula with the Na Pua O Kapiolani Hula Studio

By checking this box the student grants our studio permission to use his/her likeness in a photograph in any and all publications and materials

I agree to abide by the rules and regulations of the Na Pua O Kapiolani Hula Studio(required)

Submit

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