This form must be submitted by January 1.
Verification emails must be responded to within 5 days to keep the application active.

School Information:

Team Name:

School Name:

Coach's Email:
(may be used for verification)

Coach's Name:

Applicant Information:

Name:

Address (include city, state, zip):

Number of years participated in dance line:

Grade Point Average:

Principal's Email:

Principal's Name:

School and community activities: Please list all activities and all leadership roles in these activities.:

Dance Experience:

Future Plans - please give a detailed summary of your future plans:

Enter the Two-Word Security Code: