REGISTRATION Baby-Parent EARLY WINTER

Early Winter Session 2024 (6 weeks, from Jan 6th-7th to Feb 10th-11th)

* Indicates required field

Student Name *

First

Last

Date of birth *

Gender *

Male Female

Parent(s) 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 *

Please select the class(es) you are registering for *

Runners/Jumpers-Parent (18-35 mths) Sun 8am-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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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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