JUNIOR MEMBERSHIP APPLICATION

            NAME_____________________________________________________________              DATE________________________

            ADDRESS:_______________________________________________________________________________

            CITY___________________________________          STATE:________________________        ZIP:_____________________

            PHONE:(____)___________________________           BIRTHDATE:_______/________/_________

            AGE:__________            EMAIL:_____________________________________________________

            DMM MEMBER:__________________________________________________________________________________

            STUDIO NAME:__________________________________________________________________________________

            STUDIO ADDRESS:_______________________________________________________________________________

            CITY:___________________________________            STATE:________________________        ZIP:____________________

            STUDIO PHONE:(____)____________________        ARE YOU CURRENTLY A STUDENT TEACHER?  YES____    NO____

            TYPES OF DANCE STUDIED:______________________________________________________________________________

            _______________________________________________________________________________________________________

            ___________________________________________________# YRS STUDIED______________________________________

            ATTACH A BRIEF RESUME AND AN ESSAY EXPLAINING WHY YOU WOULD LIKE TO BE A JUNIOR MEMBER
             & WHAT YOU WOULD LIKE TO GAIN FROM MEMBERSHIP IN THIS ORGANIZATION.

            _____________________________________________                        ___________________________________________
                                DMM MEMBER SIGNATURE                                                                                                        APPLICANT SIGNATURE

                 Applications must be postmarked by December 1, 2007.
             Mail completed application, resume, essay and $25 membership fee (check or money orders payable to  DMM member/teachers
             will be accepted) to:  Junior Membership, c/o Beth Bailey, 9098 Dean Rd., Fenton, MI  48430

            Cell:  (586) 615-2968                        email:  babebailey@hotmail.com