Official Site of the

Houston Energy

Audition Request Form

Participants/School Name *

Age *

Sex *


Phone # *

Email Address *

Address *

City *

State *

Zip *

Emergency Contact Name(s) & Number(s) *

Emergency Contact Relation to You *

Do you have any of the following medical issues (check all that apply) *










Describe your medical issues *

Are you applying for the Dance Clinic or an Audition *


Cheer/Dance Experience *

Validation

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