2018 Florida Pole Fitness Championship Application Form
Email address *
Full Name of Applicant *
Your answer
AGE (by 07/07/18) and DATE OF BIRTH *
Your answer
Studio Affiliation *
Your answer
Parents Name (if under 18 years old)
Your answer
Street Address, City, State, Zip *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Parent's Email Address (if under18)
Your answer
Occupation/Employer *
Your answer
Video Submission Link (Must be Public or Unlisted) *
Your answer
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