Dancer's Name
*
Age
*
DOB
*
-
Month
-
Day
Year
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Please list any previous dance training child may have
*
Do you have any health conditions that may effect you physical performance?
*
Which team are you auditioning for?
*
Petites (Ages 6 to 9)
Juniors (Ages 10-12)
Email Address
*
Address (City, State and Zip)
*
Phone Number
*
Cell Phone
Parent/ Guardian
*
If under 18
How did you find out about our program?
*
Instagram
Facebook
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Current member/ Parent Referral
If you answered XDC Dancer/ Parent Referral, please enter the individual's name here
*
Acknowlegement
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that the activities held with The X-Perience Dance Company are physical in conduct and could potentially result injury. However, The XDC will not be held accountable in the event of a dance/ acrobatic or physical activity related injury. Any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
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Petite Audition
Non-refundable.
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Junior Audition
Non-refundable.
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
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