Name *

First Name

Last Name

Phone *

(###)

###

####

I am interested in renting for... *

Professional Use: Group Classes (1 instructor and 2 or more paying participants)

Professional Use: Private Lesson (1 instructor and 1 paying participant)

Personal Use (no paying participants)

Other: Please specify below:

General Liability Insurance: *

I/My Company/My Organization has its own General Liability Insurance Plan

I/My Company/My Organization does not have its own General Liability Insurance Plan

N/A: I am intending to use the studio for Personal Use only (no paying participants)

Other: Please specify below:

Intended start date (or estimated start date): *

MM

DD

YYYY

Intended end date (or estimated end date)

MM

DD

YYYY

Intended start time (or estimated start time) *

Hour

Minute

Second

AM PM

Intended end time (or estimated end time) *

Hour

Minute

Second

AM PM

Preferred way to pay: *

Please check all that apply

Cash

Check

PayPal

Venmo

Zelle

Other (please specify below)

KDA Rental Policies *

By checking this box, I am electronically signing that I have read, understand, and agree to the terms outlined in the KDA Rental Policies

Location: Studio B is located on the second floor, and is only accessible via stairwell. *

I understand