| 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 |
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| AUDITION Routine Session |
| REGISTRATION |
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| 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 |
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| We communicate EVERYTHING via email, make sure we have it correct! |
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