About you!

1ABOUT YOU!
2RELEASE FORMS
3
Which YEAR will you dance in L.A.?
FOR OUR TWO-WEEK DANCER PROGRAM ONLY
Which MONTH will you dance in L.A.?
Name
Birthdate
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Address

EMERGENCY CONTACT

Emergency Contact Name
Emergency Contact Address
Are you allergic to any food, medicine, animal?
In case of emergency, is there ANY medical condition we should know about to help in your medical care? For example, are you taking medications that a doctor should know about before administering medical care? Please note, this will NOT disqualify you from THE PROGRAM. It is just for your health and safety.
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