Membership Application
To apply for membership, please complete all questions.
Full Name
*
First Name
Middle Name
Last Name
Age
*
in years
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Mobile Number
*
-
Area Code (+63)
Phone Number (10-digit mobile number)
Grade & Section
*
Grade Level - Section Name
Facebook (for online sessions)
*
link to your facebook account (ex: https://www.facebook.com/FuerzaRosa)
Instagram
Instagram Username
Upload your 2x2 Photo
*
Browse Files
.jpg, .jpeg, .png files only
Cancel
of
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Parent's or Guardian's Full Name
*
First Name
Last Name
Relationship
*
Mother, Father, Sibling, Guardian, etc.
Contact Number
*
-
Area Code
Phone Number
Email
*
example@example.com
My parents/guardian are aware and have allowed me to audition for Fuerza Rosa
*
YES
NO
Other
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Do you have a background in Dance?
*
YES
NO
State your Dance Background and Experience
Why do you want to audition for Fuerza Rosa?
Apply for Membership
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