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Name
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First
Last
Date of Birth
*
Gender
*
Male
Female
Neutral
Parent / Gardian (if under the age of 18)
*
Email
*
Phone Number
*
Address
*
City / Province
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Postal code
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How long have you been training in circus arts?
*
Which discipline / apparatus will you be practicing during open gym?
*
Do you have your own equipment?
*
Yes
No, I wish to use Atlantic Cirque's
Tell us about your experience in circus arts
*
Which membership are you signing up for?
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BRONZE (1 day per week)
SILVER (2 days per week)
GOLD (3 days per week)
PAY-AS-YOU-GO
Which session are you signing up for?
*
Summer 2020 (8 weeks June 8th to Aug 30th
Fall 2020 (15 weeks Sept. 7th to Dec. 20th
Winter 2021 (Jan. 4th to April 25th)
Spring 2021 (April 26th to June 27th)
Allergies / Medications
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Emergency Contact Info
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Home
Programs
Babies & Toddlers
Ages 3 and 4
Ages 5 and 6
Ages 7 to 12
Ages 13 to 17
Ages 18 and up
Cirque-Ninja
Open Gym
Schedule & Dates
>
Payment plans
Private Lessons
Parties & Groups
Toddler Birthday Parties
Kids Birthday Parties
School & Teams
>
Homeschool Registration 2023
Adult Groups
Holiday Parties
Corporate Team Building
Camps
March Break Camp
Summer Camps
About Us
About Us
Contact Us
Meet Our Team
Boutique
Gift Certificates
Terms & Policies
FAQ