Summer Intensive Video Audition

Video Submissions Accepted through May 31st

$40 Submission Fee Required
Dancer Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Parent Name

First NameLast Name
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.

My Products

Video Submission FeeEnter description

$40.00

Total

$0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

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