Address        Fax   

City             State

Country     Zip Code +4 

E-mail    

                         CALLING HISTORY: ALL SECTIONS MUST BE COMPLETED 

Number of years calling

Number of dances called per month     Average number of squares  

Number of dances called per year         Average number of squares  

Number of dances at Basic   MS   Plus   A   C ACA One Floor

Number of clubs for which you are the club caller  

Number of clubs for which you call on an annual basis  

Number of National Square Dance Conventions called for    

Number of area festivals/jamborees/etc. called for (70 squares or more)  

            PLEASE CHECK THE CATEGORY THAT BEST DESCRIBES YOU AS A CALLER

I am a National Caller:        Full time    Part time

I am a Regional Caller:        Full time    Part time

I am a Local Caller:             Full time    Part time

I am a “Specialty” Caller (type)     Years experience

 I Record with the following Record Companies

I belong to the following Caller Organizations/Associations:

I am interested in calling any of the following: (Spots marked with an * are additional spots)

Mainstream              C1*                                         Workshops:*                     DBD/APD

Plus                          C2*                                                                                     Experimental

A1*                          C3A*                                                                                   Plus

A2*                                                                                                                              A1 - A2

Youth*                    High Energy*                                                                        C1 - C2 - C3A

DBD/APD*                                                                                   

I am under 18      Yes   No                                                                                   

A & C callers please indicate % of time preferred in A1 A2, C1 C2, C3A

I will be  available:                   

                                        Thursday        am pm nite    Please limit my daily calling to a max of times.

                                        Friday             am  pm nite    Please limit my daily calling to a max of times.   

                                        Saturday         am  pm nite    Please limit my daily calling to a max of times.

I volunteer to be MC     Aide    for the above times. MCs call the first tip and Aides call the last tip of each hour.

PROGRAMMING AVAILABILITY

I am also requesting to be programmed in the following activities:

Rounds   Contra   Clogging    Country Western/Lines   Exhibitions Education

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