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Please fill out the following application to be considered for our VIP team. One of our Cast Members will contact you within a few days after submitting your application. Please be as complete as possible as this is our chance to see who will make the best Atomix VIP!
First Name *
Last Name *
School *
Age *
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10
11
12
13
14
15
16
17
18
19
20
20+
Grade *
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6th
7th
8th
9th
10th
11th
12th
College
Other
E-mail *
Phone *
Is that your Home or Cell?
Cell
Home
MySpace URL
What would make you a good Atomix VIP?
Type a short paragraph here.
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