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AUDITION REGISTRATION
Your contact information
Your (child's parent or guardian) contact information:
Parent first name:
Parent last name:
Email:
Home Phone:
(
)
Work Phone:
(
)
Best time to call you?
Address:
Address 2:
City:
State:
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Child information
Information for the child who will be auditioning:
Child first name:
Child last name:
School:
Gender:
SELECT
F
M
Age:
years
Date of Birth (mm/dd/yyyy):
MONTH
01
02
03
04
05
06
07
08
09
10
11
12
/
DAY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
YEAR
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
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1983
1982
1981
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1974
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1965
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1958
1957
1956
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1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
Dance experience/awards:
Why do you want to be on the Warriors Jr. Jam Squad?
Applications will also be accepted on-site at the preliminary round audition on September 22.