Come Dance With us here at Club USA
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First Name
Last Name
Hair Color
Select One
Brown
Black
White
Sandy
Gray or Partially Gray
Red/Auburn
Blond/Strawberry
Blue
Green
Orange
Pink
Purple
Other
Natural Hair Color
Select One
Brown
Black
White
Sandy
Gray or Partially Gray
Red/Auburn
Blond/Strawberry
Blue
Green
Orange
Pink
Purple
Other
Bust Size
(please include cup size)
Waist Size
(in inches)
Hip Size
Height
Select One
Below 150 cm (Below 4 ft 11 in)
150 cm (4 ft 11 in)
152 cm (5 ft)
155 cm (5 ft 1 in)
157 cm (5 ft 2 in)
160 cm (5 ft 3 in)
163 cm (5 ft 4 in)
165 cm (5 ft 5 in)
168 cm (5 ft 6 in)
170 cm (5 ft 7 in)
173 cm (5 ft 8 in)
175 cm (5 ft 9 in)
178 cm (5 ft 10 in)
180 cm (5 ft 11 in)
183 cm (6 ft)
185 cm (6 ft 1in)
188 cm (6 ft 2in)
190 cm (6 ft 3 in)
193 cm (6 ft 4 in)
196 cm (6 ft 5 in)
198 cm (6 ft 6 in)
201 cm (6 ft 7 in)
203 cm (6 ft 8 in)
206 cm (6 ft 9 in)
208 cm (6 ft 10 in)
211 cm (6 ft 11 in)
Above 211 cm (Above 7 ft)
Weight
Select One
Less than 40 Kg (Less than 88 lb)
40 Kg (88 lb)
41 Kg (90 lb)
42 Kg (93 lb)
43 Kg (95 lb)
44 Kg (97 lb)
45 Kg (99 lb)
46 Kg (101 lb)
47 Kg (104 lb)
48 Kg (106 lb)
49 Kg (108 lb)
50 Kg (110 lb)
51 Kg (112 lb)
52 Kg (115 lb)
53 Kg (117 lb)
54 Kg (119 lb)
55 Kg (121 lb)
56 Kg (123 lb)
57 Kg (126 lb)
58 Kg (128 lb)
59 Kg (130 lb)
60 Kg (132 lb)
61 Kg (134 lb)
62 Kg (137 lb)
63 Kg (139 lb)
64 Kg (141 lb)
65 Kg (143 lb)
66 Kg (146 lb)
67 Kg (148 lb)
68 Kg (150 lb)
69 Kg (152 lb)
70 Kg (154 lb)
71 Kg (157 lb)
72 Kg (159 lb)
73 Kg (161 lb)
74 Kg (163 lb)
75 Kg (165 lb)
76 Kg (168 lb)
77 Kg (170 lb)
78 Kg (172 lb)
79 Kg (174 lb)
80 Kg (176 lb)
81 Kg (179 lb)
82 Kg (181 lb)
83 Kg (183 lb)
84 Kg (185 lb)
85 Kg (187 lb)
86 Kg (190 lb)
87 Kg (192 lb)
88 Kg (194 lb)
89 Kg (196 lb)
90 Kg (198 lb)
91 Kg (201 lb)
92 Kg (203 lb)
93 Kg (205 lb)
94 Kg (207 lb)
95 Kg (209 lb)
96 Kg (212 lb)
97 Kg (214 lb)
98 Kg (216 lb)
99 Kg (218 lb)
100 Kg (220 lb)
101 Kg (223 lb)
102 Kg (225 lb)
103 Kg (227 lb)
104 Kg (229 lb)
105 Kg (231 lb)
106 Kg (234 lb)
107 Kg (236 lb)
108 Kg (238 lb)
109 Kg (240 lb)
110 Kg (243 lb)
111 Kg (245 lb)
112 Kg (247 lb)
113 Kg (249 lb)
114 Kg (251 lb)
115 Kg (254 lb)
116 Kg (256 lb)
117 Kg (258 lb)
118 Kg (260 lb)
119 Kg (262 lb)
120 Kg (265 lb)
121 Kg (267 lb)
122 Kg (269 lb)
123 Kg (271 lb)
124 Kg (273 lb)
125 Kg (276 lb)
126 Kg (278 lb)
127 Kg (280 lb)
128 Kg (282 lb)
129 Kg (284 lb)
130 Kg (287 lb)
More than 130 Kg (More than 289 lb)
Age
Select One
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Address
Zip
City
State
(Req'd for US/Canada)
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Fed. States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Is.
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces the Americas
Armed Forces Europe
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Country
Select One
Guam
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Rep.
Chad
Chile
China
Christmas Island
Cocos (Keeling) Is.
Colombia
Comoros
Congo, Dem. Rep
Congo, Republic
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Antarctic
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Is
Holy See (Vatican City)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Is.
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Lucia
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia & Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia Island
Spain
Sri Lanka
St Kitts & Nevis
St Pierre & Miquelon
St Vincent Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Is.
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Is
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (US)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Phone
(Please include area code)
Fax
Email
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