Name *

First Name

Last Name

Phone *

Country

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What level of poler do you consider yourself? *

Complete Newbie! Never touched a pole.

Novice - Have done it for fun once or twice.

Level 1 - I am comfortable spinning around the pole without being aerial at all. I am not yet climbing or inverting.

Level 2 - I can climb and do many spins around the pole but I am not yet inverting from the floor or aerially.

Level 3 - I am inverting from the floor regularly and have my inside/outside leg hangs.

Level 4 & Above - I am inverting aerially. I can shoulder mount. I regularly complete combos completely aerially.