First Name*: Required       Last Name*: Required

Mailing Address:

City:        State:        Zip:

Home Phone:        Cell Phone*: Required

EMail*: Required

Date of Birth*: Required

High School Attended*: Required

Date of Graduation*: Required

Are you currently a Hinds Student?

Yes

No

Hinds ID Number:

I plan to:

live on campus

commute

Major at Hinds:

Parent Name:

Parent Cell:

T-Shirt Size:

List any previous dance experience such as being a member of your school's
dance or cheer teams, color guard, or training at a dance studio.



Online information will be sent directly to Angela Hite, Director of the Hi-Steppers.