March Break Camp
Personal Information
First Name:
Last Name:
Gender: Male
  Female
Date of Birth:
Address:
City:
Province:
Postal Code:
Phone Number:
Email:
Parent/Guardian Name:

Allergies or Medications

By registering for one of Atlantic Cirque’s classes/camps, I am acknowledging that I am aware of the following:
(please check)

Every cancellation within 14 days or less from the start of the session/camp will incur a $100 cancellation fee.

There will be no refund once the session/camp has started.

A $100 deposit is due upon registration and the balance is due at the first class.

Please complete a new registration submission for each member and/or each course you wish to register for.

* All classes/camps are subject to enrollment.

* Atlantic Cirque reserves the right to cancel a class/camp due to limited enrollment.

Return to the March Break Camp Page