Exotic Pressure Dance Company Registration
Registration/Sign up $25 fee
Dancer’s Name
*
First Name
Last Name
Dancer’s Birthday
*
-
Month
-
Day
Year
Date
Dancer's Age
*
Parent’s Name
*
First Name
Last Name
Dancer’s Phone Number (if applicable)
Please enter a valid phone number.
Format: (000) 000-0000.
Parent’s Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent's Facebook name (Our parent Chat is VIA messenger)
*
Dancer’s Clothing
*
Child Small
Child Medium
Child Large
Child XL
Adult Small
Adult Medium
Adult Large
Adult XL
Dance Experience
*
Yes
No
If yes, what kind, former team ect?
About Us
Majorette/Hip-Hop Family; $65/month; Multi-Child Discount; All year around (Break for Holidays and after certain competitions) Hopewell/Petersburg Va; I will contact you via phone within 24hours to discuss further details; visit our website www.exoticpressuredance.com CEO- Simone 804-255-6844
Submit
Should be Empty: