2011-12 UT Spartans Dance Team Application
Name: ___________________________________________________ Birth Date: _______________________
Cell phone: _________________________________ Student ID: ____________________________________
Campus Box #: ________________ Student Status: __________________ Major: _______________________
Primary Email: _____________________________________________________________________________
Local Address or Dorm: ______________________________________________________________________
City: _______________________________________ Zip: __________________________________________
Shoe Size: ____________________ Shirt Size: ____________________ Short Size: _____________________
List all previous dance experience: _____________________________________________________________
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What are your greatest strengths and skills as a dancer and what would you contribute to the team?__________
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Why are you interested in becoming a Spartans Dancer? ____________________________________________
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What other clubs, sports, and extracurricular activities do you participate in? ____________________________
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Class and Work Schedule (please be specific):
Sunday: __________________________________________________________________________________
Monday: __________________________________________________________________________________
Tuesday: __________________________________________________________________________________
Wednesday: _______________________________________________________________________________
Thursday: _________________________________________________________________________________
Friday: ___________________________________________________________________________________
Saturday: _________________________________________________________________________________
Other: ____________________________________________________________________________________
Please list any personal web pages you have (include screen name if applicable or email address registered to). Myspace: _________________________________________________________________________________
Facebook: _________________________________________________________________________________
Twitter: ___________________________________________________________________________________
Linked In: _________________________________________________________________________________
Other: ____________________________________________________________________________________
Please list any allergies: ______________________________________________________________________
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Please list any medications: ___________________________________________________________________
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Please list any injuries or physical limitations: ____________________________________________________
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Liability Waiver
By signing this agreement, I ___________________________ confirm that I am medically and physically okay
to participate in all cheerleading tryout activities such as, but not limited to, jumping, stunting, tumbling, stretching, cardio, weights and endurance training. Any allergies or limitations are fully disclosed above. I release all liability of injury during the tryout process and take responsibility of my own health and wellness for such activities.
Signed: ________________________________________________________ Date: ______________________
Printed Name: _____________________________________________________________________________