Body & Soul Member Application 2018-19

Full name:                                                   Gender:

Phone #:                                                     Grade:

Address:

City:                     State:                              Zip:

Your E-mail:

Parent E-mail:

Parent #:

Birthday:                                                       T-shirt size:

• How did you heard about us?

• Why do you want to join Body & Soul?

• Do you have dancing/performing experience? Where? For how long?

• Tell us about you

Emergency contact Information

Parent/Guardian Name:

Phone #: 

Email:  

Secondary emergency contact

Name:

Relationship:

phone #: 

Email: