CONTACT INFORMATION

First Name: Last Name:

Address: City:   State:   Zip:

Phone: Alternate Phone:

E-Mail:

PERSONAL INFORMATION

Birth Date: Present Age:

Are You?  Single: Married: Divorced:

How many children?

Living Arrangements:  Parents:    Spouse:    Roommate(s):   Alone:

Are you currently employed?   Yes:   No:

Where are you employed?

Are you currently attending school? Yes:   No:

Where are you attending school?

Blouse Size:   Pants Size:

Shoe Size:   Height:

Weight:   

DANCE BACKGROUND

Please list all schools attended and/or groups you danced with:

Schools/Groups: Years There:

Schools/Groups: Years There:

Schools/Groups: Years There:

Schools/Groups: Years There:

Schools/Groups: Years There:

Why would you like to be a Steel City Angel?

How did you find out about the Steel City Angels?