Name:
Date of Birth:
Home #
Cell #

Print this form out and fill out completely using clear lettering. To register:
Email this FORM back to us
OR
Fax to: 954.476.6976



Primary E-mail Address:
Circle/Highlight one of the following:
HIGH SCHOOL:
Freshman   Sophomore      Junior          Senior          Graduate

COLLEGE:
Freshman   Sophomore      Junior          Senior          Graduate


High School Attended/or current:
How did you hear about the session?
Remember to keep checking our website for new updates:
www.fiugoldendazzlers.com
BACK
AUDITION Routine Session
REGISTRATION
July 14th
7pm-9pm
Pharmed Arena
Room 280


Routine  Sessions are $ 35.00 each

All payment MUST be in CASH .


Please E-MAIL registration forms to fiudazzlers@bellsouth.net
We communicate  EVERYTHING
via email,
make sure we have it correct!