New Dancer Intake

DANCER PROFILE

Let's get to know you. This info stays in your profile so every 67ATE event is personalized and organized.

Dancer Info

Dancer Full Name *Date of BirthAgeGenderT-Shirt Size

Parent / Guardian

Parent / Guardian Name *Email *PhoneRelationship to DancerAddress

CityStateZip

Emergency Contact

Emergency Contact Name *Emergency Phone *Relationship

Dance Background

Current Studio / TrainingYears of ExperienceCurrent Level

Dance Styles

Dance Goals (optional)

Medical & Safety

Medical Conditions / InjuriesAnything we should know to keep you safe.

Allergies

Social & Extras

InstagramTikTok

How did you hear about 67ATE?

I agree to let 67ATE use photos/videos of the dancer taken at events for promotional and social media purposes.Liability Waiver * — I acknowledge dance involves physical risk and release 67ATE, its staff, and venues from liability for injury or loss. I confirm the dancer is physically able to participate.

Your info is stored securely in your 67ATE profile.