Member Info Form

Name *

First Name

Last Name

Cell Phone *

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Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Transportation

Which option best applies to you?

I already live within an easy drive to rehearsal (4 hours or less)

I am moving from a far away state to live here for the season

I am driving a long distance each weekend (5+ hours)

I am flying to rehearsal each weekend

Birthdate *

MM

DD

YYYY

Ageout *

Is this your last season of eligibility?

Yes

No

Seasons

Which seasons have you been a part of Rhythm X? If you are a new member, select 2023.

2018

2019

2020

2022

2023

Parent 1 *

First Name

Last Name

Parent 1 Phone *

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Parent 2

First Name

Last Name

Parent 2 Phone

(###)

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Other Emergency Contact *

Someone other than your parents we can call in case of emergency.

First Name

Last Name

Emergency Contact Phone *

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