Platinum Superstars Dance Company
Dance Audition Form
Dancer’s Full Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Age
*
Gender
*
Dancer’s Phone Number
*
-
Area Code
Phone Number
School
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent E-mail
*
Parent Contact Number
*
-
Area Code
Phone Number
Emergency Contact
*
Is Emergency Contact Authorized to Pick-Up?
*
Special Instructions/Needs
Allergies
*
Medical Information
*
Behavioral Information
Other Special Instructions
Have You Ever Been Apart of Another Dance Team?
How Did You Hear About Us?
Is There Anything Interesting That You Would Like to Tell Us?
Date
*
-
Month
-
Day
Year
Date
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SUBMIT
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