REGISTRATION Baby-Parent SUMMER

Registration 8-week Summer Session 2022 (July 4th to Aug 28th)

* 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 *

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

Baby-Parent (6-23 mths): Sunday 8 - 8:45am Runners-Jumpers (18-35 mths): Sunday 9 - 9:45am Runners-Jumpers (18-35 mths): Sunday 10 - 10:45am

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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