Employment Employment If you are human, leave this field blank. First Name * Last Name * Phone Number * Your Email * Address * Address Address 1 Address 1 Address 2 Address 2 City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Distance That You Will Travel * Under 1 Hour 1 Hour to 2 Hours 2 Hours - 3 Hours 3 + Hours Experience * Under 1 Year 1-2 Years 2-3 Years 3-4 Years 4-5 Years 5 + Years Gender * Male Female Age * Ethnicity * African-American Caucasian Hispanic Height * 4'11 5'0" 5'1 5'2 5'3 5'4 5'5 5'6 5'7 5'8 5'9 5'10 5'11 6'0 6'1 6'2 6'3 Weight * 120-130 131-140 141-150 151-160 161-170 171-180 181-190 191-200 201-210 211-220 Other Weight Weight in lbs. Use Other if weight not in dropdown What State Do You Dance In? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Please check what cities and their surrounding area you would like to be contacted about. * Destin Fort Myers Jacksonville Key West Miami Naples Orlando Panama City Port St. Lucie Tampa Are you available to dance in another state? Yes No What State Do You Dance In? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Comments Tell us why you would be good fit for our company, you can also leave references Upload Picture * Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 8.39MB Upload Picture Drop a file here or click to upload Choose File Maximum upload size: 8.39MB Upload Picture Drop a file here or click to upload Choose File Maximum upload size: 8.39MB reCAPTCHA