Fields marked with an asterisk (*) are required.

Please fill out this MTA Registration Form and bring it to your child's next class.

TUITION: Tuition is payable in advance and due by the 5th of every month. If paying after the 5th, add a $10.00 late fee to your tuition payment. $20.00 will be charged for checks returned “NSF.” Monthly fees are calculated and prorated over the school year, taking into consideration holidays and months with five classes and will remain the same for every month unless notified by Dance Island.

MAKE-UP CLASSES: Because we offer unlimited classes, no tuition adjustments can be made for absences.

WITHDRAWAL: Dance Island should be notified in writing two weeks prior to withdrawal. You are responsible for two weeks of tuition payments after withdrawal notice, even if your child is not attending.

REGISTRATION FEE: An annual $10.00 registration fee is payable every September, unless it was paid within the last 6 months. Please include the $10.00 registration fee with this form.

BEFORE AND AFTER CLASS: Dance Island, Laura Kunimura LLC and the Recreation Center staff cannot be held responsible to supervise children waiting before and after their class. Students who come before their scheduled class should observe and warm up quietly. Students who arrive more than 10 minutes late for their class can observe, but not participate in class.

Student Information

Emergency Contacts

Please let us know who we should contact in case of an emergency.

Emergency Contact #1

Emergency Contact #2

Class Information

Note: Creative Movement (1hr), Pre-Ballet (1hr), Ballet I (1hr), Ballet II/III (1.5hr)  are unlimited classes. Musical Theatre (1.5hr) is $25 when taken with other classes, or $65 taken individually.

Total Due

About Payment

Please submit payment in person. Total Due includes class fee along with a $10 registration fee.


If you would like to start mid-month, we will prorate your Class Fee.

If starting on the 8th through 14th day of the month, please multiply Class Fee by 75%.

If starting on the 15th through 21st day of the month, please multiply Class Fee by 50%.

If starting on the 22nd day of the month or later, please multiply Class Fee by 25%.

Liability Waiver

I hereby acknowledge that participation in any dance class does carry the remote potential for injury. I understand that every precaution will be taken to insure the safety of my child. I therefore release Laura Marlowe Kunimura, Laura Kunimura LLC, Dance Island, its teachers, and the Mililani Town Association (MTA) of any responsibility for accidents. I hereby attest and verify that my child is physically fit and that my child does not have any physical or mental condition that would limit his/her safe and prudent participation in dance classes being taught by Dance Island, Laura Kunimura LLC, and its teachers. I have read the above rules and regulations and fully agree to the terms stated above.