Grade 4A Youth (Fall)

Student's Information

Questions? Please Contact info@kathadance.org. ** NOTE: When registering for drop-in classes, you may change the number of drop-ins at the cart stage. After you enter the number, hit the return/enter key to confirm the change and your subtotal will update. **

Student First Name*

Student Last Name*

Email*

Phone*

Age*

Pronouns (she/her, he/him, they/them, etc.)*

If the student has any limitations on movement or activity, or if there is any other information of which KDT should be aware, please describe briefly below.

Student's Address

Street Address*

City*

State*

Zip Code*

Parent/Emergency Contact

Parent 1, Spouse/Partner, or Emergency Contact First Name*

Parent 1, Spouse/Partner, or Emergency Contact Last Name*

Parent 1, Spouse/Partner, or Emergency Contact Email*

Parent 1, Spouse/Partner, or Emergency Contact Phone*

Relationship to Student*

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Phone

Additional Information

Demographics

(NOTE: KDT is a non-profit organization and relies on foundation, corporate, government and private support. This demographic information will be helpful for grant and fundraising purposes. Thank you for cooperating!)

Student (or Parent 1, if student is under 18) Employer

Parent 2 Employer

Student (or Parent 1, if student is under 18) Job Title

Parent 2 Job Title

Are you interested in volunteering with KDT?

Yes

No
KDT expects parents (and adult students) to volunteer for at least one KDT activity per year. Please let us know which of these volunteer opportunities would interest you, and we will follow up with you based on our needs. We encourage you to select more than one, as some opportunities may not be available.

Volunteer Opportunities
Work at Student Recital (Sadhana)
Help organize community performances for students (multiple opportunities, year-round)
Help run booth at IndiaFest
Other

If you selected "Other" above, please elaborate

Do you have any special skills or expertise you would be willing to share in support of KDT? (e.g., technology, social media, fundraising, etc.)

Are you involved in any arts, community, or educational institutions that might be interested in partnering with KDT? (such as Indian community organizations, cultural organizations, colleges/universities, etc.)

Parent Partners

We plan to launch a ‘Parent Partners’ volunteer group this year, which cultivates a collection of parents who wish to donate their time and talents to support KDT School activities throughout the year. Volunteers may help with costume orders, assisting with outreach performances, organization food and snacks for recital weekend, and more. We’re so thankful for every volunteer!

Are you interested in becoming a Parent Partner?
Yes
No

Relation to Student

Are you new to KDT? How did you hear about us?
Friend/referral
Online search
Email
Facebook/Instagram
Other

Student Policies and Performances*
By checking this box, you acknowledge that you have read and accept the terms of the Student Policies and Performances page.
Click here to view the Student Policies and Performances page.

Liability Waiver and Media Release*
By checking this box, you acknowledge that you have read and accept the terms of the Student Policies and Performances page.
Click here to view the Liability Waiver and Media Release

Is there anything else you’d like us to be aware of?

Product Name

Total

Class Options