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APPLICATION
Shimmy Mob Video Interview Spotlight Series
Limited Spots Available. Application deadline Saturday April 15th, 2017
*
Indicates required field
Name
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First
Last
Email
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Phone Number
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City
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Country
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Please include your digital addresses (Website, Facebook Page, etc.)
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In which category would you like to have a spotlight
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Performing Artist
Dance Teacher
Studio Owner
All of the Above
None of the Above
Other
If you answered 'Other', please explain
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Bio
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Please select your role in Shimmy Mob (past or present)
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Team Leader
Assistant Team Leader
Dancer
Rehearsal Assistant
Supporter
I have never participated
Year and Team location where you registered
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What else would you like us to know about you?
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Any additional comments
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Terms of Agreement
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I understand this application does not guaranteed a spotlight.
Submit