REGISTRATION Baby-Parent WINTER

8-week Winter Session 2021 (Feb 6th-7th to April 3rd-4th)
*no classes on March 20th-21st during March Break week

* 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: *

Option 1 Option 2 Option 3

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

atlantic_cirque_ltd.__22terms___policy_22_.pdf
File Size:	144 kb
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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