US Pole Sports Federation 2017 Pole Art America Application Form
Athlete Application Form for 2017 USPSF Pole Art America
Legal Name - First and Last *
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Date of Birth *
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Address *
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Contact Email Address *
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Contact Phone Number *
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Studio Affiliation (If no affiliation, write none) *
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Division Applying For - Pole Art America *
Required
Please give us a short bio: *
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Link to submission video (must be unlisted or public) *
Your answer
Pole Art America 2017 Theme/Concept
Please send us the theme or concept of your intended routine at time of applications. Please feel free to send inspirational photos, videos, and/or storyline of your theme/concept. This should be a concise, but well-thought-out description of the character or story that you would like to portray on stage. If you are selected, any changes to your theme must be approved by USPSF. See important dates and deadline section.

**Please Note** The USPSF will only accept one theme/concept and any duplicates or similar concepts will need to be resubmitted. This is on a first come, first served basis.

Description of Theme/Concept *
Your answer
I have received, read, and agree to all terms in the USPSF Pole Art America Rules and Regulations *
Required
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