DANCE CLUB MEMBERSHIP FORM

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Name : Last Name, First Name, Middle Initial

Age :
Contact Number :
Email Address :
Present Address :
Date of Birth (mm/dd/yyyy) :
Student Status : First Year Second Year Third Year Fourth Year
Height :
Weight :
Date of Application :
Indicate your dance genre/style :

Were you on any dance team before or in the present?

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Have you ever joined a dance competition at a high or professional level?

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(Please indicate the competition and you may attach a picture of your certificates or any proof)

Why would you like to be part of the Dance Club?

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I declared that the above details are true and correct.

Name and Signature of the Candidate

Recommending Approval:

RYAN L. MOZO CLAIRE P. CABACTULAN

Dance Club President CCO President

KC T. SANCHO CRISTINE D. GULFO

SSG President OSWD Coordinator

WHELSON C. PASOS
Campus Director