TRAINING APPLICATION | zeekersdanz

Zeekers Elite Training Program Application Form

First name

Last name

Gender

Email

Phone

Birthday

Month

Day

Year

Municipality

Age

Please enter your current age

Please select the program level you are applying for

Zeekers Kids Elite (Ages 7-11)

Zeekers Youth Elite (Ages 12-17)

Dance Experience

None

1–2 years

3–5 years

6+ years

How many years of dance experience do you have?

Please list dance styles you have learned (separate with commas)

Have you participated in performances, showcases, or competitions? If yes, please specify.

Audition Video Submission

Please provide a link to your 1-minute dance video

If a friend referred you, please provide their name (one friend only)

Emergency Contact

Emergency Contact Phone

Emergency Contact Relation

Medical Information - Do you have any medical conditions, injuries, or allergies we should be aware of?

No, I do not have any medical conditions, injuries, or allergies.

Yes — please specify:

Medical Information — Please specify

Consent & Agreement

I confirm that all information provided is accurate.

I understand that Zeekers Danz reserves the right of final admission.

I agree to follow the training program rules, code of conduct, and safety guidelines.

(For minors) I, the parent/guardian, give consent for my child to participate in this program.

Click here to view the full [Zeekers Training Program - Participation Terms & Waiver] Your signature below confirms that you have read, understood, and agreed to the above terms and waiver.

Signature

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