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* 1. Name

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* 2. Date of Birth

MM/DD/YYYY

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* 3. Current Contact Information and Mailing Address

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* 4. Business Address

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* 5. CPYB Information

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* 6. Are you currently dancing professionally? If yes, please tell us the company and the position you hold.

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* 7. Please list any companies you have danced with professionally, the position held and the years you were there.

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* 8. Please share any other personal or professional news/comments with us here.

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