Atomix VIP Application

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 *

Grade *

E-mail *

Phone *

Is that your Home or Cell?

Cell

Home

MySpace URL

What would make you a good Atomix VIP?