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AcroVersity 2017 Application
Name *
Your answer
Link to website or FB/Instagram Profile *
Your answer
Email Address *
Your answer
Partners Name *
Your answer
Your Role *
Years of practice *
Your answer
Events you have taken with teaching staff, or other in-depth events: *
Your answer
What are you currently working on in your Acro Practice? *
Your answer
What would you like to get out of your AcroVersity Experience? *
Your answer
Do you have any injuries that will impact your participation? *
Your answer
Do you have any medical illnesses we should be aware of? *
Your answer
Emergency Contact
Name and relationship to you
Phone number
of emergency contact
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