Hip Hop ConnXion/Hip Hop Force Audition Registration Form

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This Google form will serve as your audition registration form for the Future Force, Hip Hop Force or Hip Hop ConnXion HQ dance company auditions. Please fill out all required fields.

ALL INFORMATION WILL BE KEPT PRIVATE AND CONFIDENTIAL

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電子郵件 *

Name (First and Last): *

Address: *

City: *

State: *

Illinois

其他：

Zip Code: *

Phone Number (Cell): *

Phone Number (Other)

Email Address: *

Date of Birth (MM/DD/YYYY): *

YYYY

School/College/Work: *

Future School/Work: *

How did you hear about the audition? (Please include a name if it was a referral): *

Please read the following Waiver and Release form in its entirety: *

I confirm that I have read and understood this Waiver and Release form and acknowledge that this serves as my electronic signature, and by clicking this button I am over the age of 18 (please have parent or legal guardian click this button if you are under 18).

If you are under 18, please have your parent or legal guardian type their name below to acknowledge responsibility for agreeing to the Waiver and Release form.

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