NEW ACADEMY ARTIST INTEREST FORM

Join CMXI NEXT Entertainment Academy

Ready to train, grow, and perform? Complete our Academy Interest Form, and we’ll help you find the perfect division for your Academy Artist.

CMXI Entertainment Academy Artist | Interest Form

ACADEMY ARTIST INFORMATION

First name

Last name

Birthday

Month

Day

Year

Age

Grade

School Currently Attending:

Please Note: If the Academy Artist is under 18 years of age, all contact information must belong to a Parent or Legal Guardian. Academy Artists who are 18 years of age or older should provide their own contact information.

Phone

Which division are you interested in?

Rising Stars (4-6)

Next Generation (7-10)

Spotlight (11-14)

Professional Prep (15-18)

Previous dance experience?

YES

Tell us alittle about your Academy Artist

PARENT / LEGAL GUARDIAN INFORMATION

Parent/Guardian Full Name

Phone

EMERGENCY CONTACT INFORMATION

Emergency Contact Full Name

Emergency Contact Phone

Yes, I would like to receive updates, announcements, upcoming events, and enrollment information from CMXI NEXT.

PARENT / GUARDIAN SIGNATURE (if Academy Artist is under 18) OR Academy Artist Signature (if 18 years of age or older).

PRINTED NAME

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date

Month

Day

Year

ACADEMY ARTIST INFORMATION

STAY UP TO DATE