Name

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* 1. Name

Email

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* 2. Email

What apparatus would you like to perform on?

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* 3. What apparatus would you like to perform on?

Would you like to perform a

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* 4. Would you like to perform a

What skills would you feel comfortable performing in a routine? (POLE ONLY)

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* 5. What skills would you feel comfortable performing in a routine? (POLE ONLY)

Rank your music/style preference

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* 6. Rank your music/style preference

Anything else you'd like to tell us?

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* 7. Anything else you'd like to tell us?

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