Dancer's Name
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Age
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DOB
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Month
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Day
Year
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Please list any previous performing arts experience your child may have
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Do you have any health conditions that may effect you physical performance?
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Which company or team are you auditioning for?
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X1 (Ages 15 to 18)
X2 (Ages 14-18)
Training Company of X (Ages 13-15)
Junior Company (ages 10-13)
X-Treme K-aos (ages 10-18)
Competition Team (Team Level will be determined based on assessment)
Travel Ensemble
Email Address
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Address (City, State and Zip)
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Phone Number
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Cell Phone
Parent/ Guardian
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If under 18
How did you find out about our program?
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Instagram
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Current member/ Parent Referral
If you answered XDC Dancer/ Parent Referral, please enter the individual's name here
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Acknowlegement
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that the activities held with The X-Perience Dance Company are physical in conduct and could potentially result injury. However, The XDC will not be held accountable in the event of a dance/ acrobatic or physical activity related injury. Any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
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Company Audition
Non-refundable.
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
New Member
Current Member
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Travel Ensemble (New)
Non-refundable.
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
X-Treme K-aos
Non-refundable.
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
New Member
Current Member
----
Competition Team Try/out and Assessments
Non-refundable
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
New Member
Current Member
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