Prospective Barton Dance Team Questionnaire

Email address *

First name *

Last name *

Address 1 *

Address 2

City *

State *

ZIP Code *

Cell Phone #:

Birth Date:

High School Information:

Name of High School:

High School Address:

(City, State, Zip)

High School Coach's Name and Phone Number:

Graduation Date:

Dance Information:

Years in Dance:

Years experience and where at (Ex: 3yrs with XYZ Dance team)

Skills you have:

Right Double Pirouette:

Yes No

Left Single Pirouette:

Yes No

Right Triple Pirouette:

Yes No

Turns in Seconds:

Yes No

Turns in Seconds:

If yes, how many? If unknown, leave blank

Calypso:

Yes No

Right and Left Leg Leap:

Yes No

Kip Up:

Yes No

Head Spring:

Yes No

Aerial:

Yes No

List any other dance skills you have:

List any honors or awards you have received for cheerleading/gymnastics/dance/etc:

Your planned study/major in college?

Favorite Style of Dance:

* required field

Barton Community College Athletics

Cheer and Dance Team

Prospective Barton Dance Team Questionnaire

High School Information:

Dance Information:

Skills you have: