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:

School/Group:

Years There: 

School/Group:

Years There: 

School/Group:

Years There: 

Why would you like to be a Steel City Angel?

How did you find out about the Steel City Angels?