COMPANY SUBMISSION FORM (YOUTH, PRE PRO & PRO)

POWERHOUSE COMPANY

APPLICATION FORM
Name Of Applicant

First NameLast Name
Date Of Birth

DayMonthYear
E-mail
Parent Email (If Applying On Behalf Of Child)
example@example.com
Applicant/Artist's Contact Number
This will be for closed WhatsApp group in order to post rehearsal and class footage and quick updates.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
T Shirt Size
True To Size*
Emergency Contact #1

First NameLast Name
Emergency Contact Number #1
Phone Number
Emergency Contact #2

First NameLast Name
Emergency Contact Number #2
Phone Number
If You/You’re Child Has Any Medical Conditions We Should Know About, Please Detail This Below Along With Any Notable Medication That They May Need To Carry With Them While In Our Care (I.e. Inhalers For Asthma/Insulin etc):
Does Applicant Have Dance & Performance Experience?
If Yes, Please Select The Ones That Apply To You?
Which Company Level Are You Interested In Applying For?
Please Let Us Know If You Can Make Our May Training Session On Sunday 17th May:
Do You Consent To The Use Of Photography/Videography For Professional And Marketing Purposes?
Our Faculty Will Be In Touch With Next Steps And Further Information Regarding Our Upcoming Training Days, Performance Opportunities, Filming Productions And Other Optional Things That May Be Beneficial For You!
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Your Information is Safe With us!
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POWERHOUSE COMPANY