Battle Application Personal Information Must be 18 or older to enter DATE:______________
Age____ Type of Dance________
Name: ____________________________________________
Last First Middle
Address:_______________________________________________________
Street (Apt) City, State Zip
Email Address:______________________________________
If group list all address’s___________________________________________________________
Contact Information: ( )_______________ ( )________________
Home Telephone Mobile
If under age of 18 you must include contact information of parent of guardian with signature for permission.
Name: __________________________________________________________
Last First Middle
___________________________________________________________________________
Address:______________________________________________________________ Street (Apt) City, State Zip
I ________________________, certify that I am the guardian of _________________________ the listed individual above.
I hereby give ______________________ permission to enter the HopStar121 Dance Battle. I understand the rules, fees & that large cash prizes can be won. Fees are $3.00 per solo entry & $10.00 per group entry. There is no limit to entries. Signature_______________________Date______________
How did you learn about HopStar121? __________________________________________
Solo or Group:______________ YouTubeLink:___________________________
Seeking dance Career?: ____ Are you currently employed in Dance?_____________
If yes, with who?_____________________
Tell us about yourself or your group. Include any links to your work, photos, where you are looking to work, etc.__________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Age____ Type of Dance________
Name: ____________________________________________
Last First Middle
Address:_______________________________________________________
Street (Apt) City, State Zip
Email Address:______________________________________
If group list all address’s___________________________________________________________
Contact Information: ( )_______________ ( )________________
Home Telephone Mobile
If under age of 18 you must include contact information of parent of guardian with signature for permission.
Name: __________________________________________________________
Last First Middle
___________________________________________________________________________
Address:______________________________________________________________ Street (Apt) City, State Zip
I ________________________, certify that I am the guardian of _________________________ the listed individual above.
I hereby give ______________________ permission to enter the HopStar121 Dance Battle. I understand the rules, fees & that large cash prizes can be won. Fees are $3.00 per solo entry & $10.00 per group entry. There is no limit to entries. Signature_______________________Date______________
How did you learn about HopStar121? __________________________________________
Solo or Group:______________ YouTubeLink:___________________________
Seeking dance Career?: ____ Are you currently employed in Dance?_____________
If yes, with who?_____________________
Tell us about yourself or your group. Include any links to your work, photos, where you are looking to work, etc.__________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
