REGISTRATION Baby-Parent EARLY FALL

8-week Early Fall Session 2022 (Sept 10th-11th to Oct 29th-30th)

*To continue to help with the social distancing, we ask that ONE parent attends classes with their little-one.

* Indicates required field

Student Name *

First

Last

Date of birth *

Gender *

Male Female

Parent who will accompany the child *

First

Last

Email *

Phone Number *

Address *

City / Province *

Postal Code *

Where did you hear about Atlantic Cirque? *

Allergies / Medication *

Emergency Contact info *

Select the class(es) you are registering for: *

Runners/Jumpers-Parent Sunday 8-8:45am

Please note that the classes that are FULL DO NOT APPEAR in the list above

atlantic_cirque_ltd.__22terms___policy_22_.pdf
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File Type:	pdf

Click on the pdf document above to agree to the terms * *

I have read the policy above and agree to the terms

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