Registration March Break Camp

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? *

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
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