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REGISTRATION FORM
MARCH BREAK CAMP 2021
*
Indicates required field
Student Name
*
First
Last
Date of Birth
*
Gender
*
Male
Female
Gender Neutral
Parent / Gardian Name (if under the age of 18)
*
Email
*
Phone Number
*
Address
*
City / Province
*
Postal Code
*
Where did you hear about Atlantic Cirque?
*
Brochure
Newspaper or Magazine Ad
Television
Radio
Internet
Birthday Party
Other Parents or Friends
Other
Allergies / Medications
*
Emergency Contact Info
*
Please select the week(s) you are registering for
*
March Break Camp -March 15th to 19th 2021
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
Submit Camp Registration
Home
Programs
Parent-Baby
Ages 3 and 4
Ages 5 and 6
Ages 7 to 12
Ages 13 to 17
Ages 18 and up
Cirque-Ninja
Private Lessons
Open Gym
Parties & Groups
Toddler Birthday Parties
Kids Birthday Parties
School & Teams
>
Homeschool Registration 2020
Adult Groups
Holiday Parties
Corporate Team Building
Camps
PD Day Camps
March Break Camp
Summer Camps
Entertainment
Boutique
About Us
Covid-19 Measures
About Us
Contact Us
Meet Our Team
Gift Certificates
Terms & Policies
FAQ