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