Registration FormPlease complete the form below to register for a Youth Academy trial or upcoming RBX Dance Company Auditions. Performers Name * First Name Last Name Parent/Guardian Name First Name Last Name Email * Phone * (###) ### #### City / Postcode * Performers D.O.B * MM DD YYYY Gender Male Female Emergancy Contact * First Name Last Name Phone * (###) ### #### Do you have any medial or allergy based issues? * If 'Yes' please state below What are you signing up for? Dance Company Auditions (Semi-Pro) Youth Academy Class (9-17yrs) Dance Classes Teacher/Choreographer How did you hear about us? Google Social Media Word Of Mouth Online Search Engine Other Photographic/Video Wavier Yes No Thank you for your registration form!