Dance Team Recruit Questionnaire

Please fill out the form below as completely as possible. Click the submit button at the bottom of the form once complete. The information you provide will be sent directly to the head coach.

**Indicates Required Information.

**Last Name: **First Name: **Middle Initial:

**Home Address: **City:

**State: **Zip Code: Home Phone Number:

Email Address:

School Attending: **High School Graduation Year:

Major: ACT/SAT Score: G.P.A.

Sponsor/Coach:

Current Coach's Phone Number:

Gender: Male Female

High School Dance Team/All-Star/Dance Studio:

Location of Studio: Coach:

Coach Phone Number:

Total Years Dance Experience:

Dance Skills: (Check what you can demonstrate.)

Turns: Single Pirouette    Double Pirouette    Triple(+) Pirouettes
           Chain/Pique Turns     Fuettes/Turns in 2nd     Axle
                               Other:

Leaps/Jumps: Split Leap (R & L) Center Leap Switch Leap
Calypso Toe-touch jump Other:

Experience in Dance Styles/Former Training: Select only what you can do with proper technique consistently.

Jazz Modern/Contemporary/Lyrical Ballet Hip-Hop/Funk Tap
Clogging High-Kick Pom Other:

Why do you want to be a CCC dance team member?

Please select three possible dates and times for setting up an audition (in order of 1st-3rd choice) of which you are available to audition. Once selected, coach will contact you ASAP to coordinate an audition date and time based on one of the possible dates and times selected:

1st Choice:

2nd Choice:

3rd Choice:

Yes, this information is correct. (Required) Please check this circle once you have double-checked the information provided for accuracy.

(Please click the submit button only once. It may take several moments for the form to be processed. Once processed, you will be sent to a confirmation page.)