Last Name:
Home Address:
City: State: Zip Code:
Home Phone:
Home Phone (2): if you have a second phone line or personal line
Grade Level (2001-2002):
Email Address:
Age:
Birthday:
Parents Name:
What equipment are you proficient on, flag, rifle, sabre, and/or dance?
How many years have you been an active performer in the guard activity?
Rehearsal or Performance Conflicts:
Comments:
