Vegas Registration Form

SpIN CITY POLEcation THREE Registration Form

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Thank you for your response. ✨

Name

Phone

Date of birth (YYYY-MM-DD)

Instagram handle

How long have you been practicing pole?

What pole level do you consider yourself?

Do you have any injuries or medical conditions?

Do you want to join the add on October 4-5, 2026?

How would you like to be billed for your remaining balance? Note: All final payments must be made by July 1, 2026.

Upon arrival, you will be receiving a complimentary swag bag with goodies! The items vary by event, but some items require sizing details. If you wish to receive goodies, please provide your sizing details. This is not a guarantee of each item.

Polewear size (bodysuit, top, bottoms)

T-shirt size

Pole heels size

Kneepad size

Is there anything else you’d like to share?

Congratulations on choosing to invest in YOURSELF & be a part of this special experience. You’ll receive a confirmation email within 72 hours.