KPC Company Membership

SKU:

$200.00

$200.00 - $320.00

Unavailable

per item

-Complete your KPC registration by submitting this form.

Your membership will not be valid unless you submit the "Company Membership Contract & Agreement" AND purchase the "KPC Company Membership" shown on this page.

Submit the "Company Membership Contract & Agreement" by clicking HERE.

For more information on scheduling and other information about joining KPC click HERE.

PARTICIPANT NAME * Maximum of 1000 characters

PARTICIPANT AGE & BIRTHDATE * Maximum of 1000 characters

PARENT/GUARDIAN NAME(S) (IF APPLICABLE) *

GUARDIAN/PARTICIPANT(S) E-MAIL ADDRESS *

GUARDIAN/PARTICIPANT PHONE NUMBER(S) * Maximum of 1000 characters

CITY *

STREET ADDRESS *

ZIP CODE *

Type Of Account Select all that apply VISA Mastercard AMEX DISCOVER

Name As It Appears On Card *

Credit Or Debit Card Number *

Card Expiration Date *

Security Code (CVC) *

Billing Zip Code *

I have read, understand and agree to the "Waiver, Media Release, & Consent" listed in the "Kontagious Performing Company Membership Contract & Agreement". Select all that apply YES

I have read, understand and agree to the "Parent/Guardian/Member: Contract and Agreement" listed in the "Kontagious Performing Company Membership Contract & Agreement". Select all that apply YES

I have read, understand and agree to the "Parent/Guardian/Member: Financial Contract and Agreement" listed in the "Kontagious Performing Company Membership Contract & Agreement". Select all that apply YES

I have read, understand and agree to the "Parent/Guardian/Member/Director: Contract & Agreement" listed in the "Kontagious Performing Company Membership Contract & Agreement". Select all that apply YES

I have read, understand and agree to the "Kontagious Performing Company Financial Policies" listed in the "Kontagious Performing Company Membership Contract & Agreement". Select all that apply YES

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KPC Company Membership

Click here to view the "Company Membership Contract & Agreement"