| We communicate EVERYTHING via email, make sure we have it correct! |
| Name: Date of Birth: Home # Cell # Primary E-mail Address: Circle /Highlight one of the following |
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 |
| HIGH SCHOOL: Freshman Sophomore Junior Senior Graduate COLLEGE: Freshman Sophomore Junior Senior Graduate High School Attended/Current: How did you hear about the sessions? |
| Remember to keep checking our website for new updates: www.fiugoldendazzlers.com |
| AUDITION CLINIC |
| REGISTRATION |
| Please circle the package option you are registering for: All payment MUST be in CASH . Package A: 1 Class @ $ 12.00 each Circle date requested: 3/22, 3/24, 3/29, 3/31, 4/5, 4/12, 4/14, 4/19, 4/21, 4/26, 4/28 Package B: 4 Classes , $ 44.00 ( $ 11.00 each) Circle date requested: 3/22, 3/24, 3/29, 3/31, 4/5, 4/12, 4/14, 4/19, 4/21, 4/26, 4/28 Package C: 8 Classes, $ 80.00 ( $ 10.00 each) Circle date requested: 3/22, 3/24, 3/29, 3/31, 4/5, 4/12, 4/14, 4/19, 4/21, 4/26, 4/28 Package D: 10 Classes, $ 90.00 ( $ 9.00 each)and receive one (1) class free! Circle date requested: 3/22, 3/24, 3/29, 3/31, 4/5, 4/12, 4/14, 4/19, 4/21, 4/26, 4/28 Please E-MAIL registration forms to fiudazzlers@bellsouth.net |
| AUDITION CLINIC DATES: ALL clinics are at 7:00pm at the U.S. Century Bank Arena, MAIN FLOOR Monday, March 22nd Wednesday, March 24th Monday, March 29th Wednesday, March 31st Monday, April 5th Monday, April 12th Wednesday, April 14th Monday, April 19th Wednesday, April 21st Monday, April 26th Wednesday, April 28th |