REGISTRATION SUMMER

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REGISTRATION SUMMER CLASSES

Registration 8-week Summer Session 2020 (July 6th to Aug 30th)

* Indicates required field

Student Name *

First

Last

Date of birth *

Gender *

Male Female Gender Neutral

Parent /Gardian Name (if under 18 years of age) *

First

Last

Email *

Phone Number *

Address *

City / Province *

Postal Code *

Allergies / Medication *

Emergency Contact info *

Please select the cours(es) that you are registering for (classes that are FULL do not appear in the list): *

Circus 1: Monday 5:30pm-6:45pm (ages 7-12) Circus 2: Tuesday 5:45pm-7pm (ages 10-16) Adults: Tuesday 7:30pm-9pm (ages 18+) Wee/Little-Circus: Thursday 5:40pm-6:30pm (ages 3-6) Little-Ninja: Thursday 7pm-7:50pm (ages 7-12)

*Please note that the class that are full do not appear in the list above

Which session are you registering for? *

July & Aug (8 weeks) July 6th to Aug 30th August (4 weeks) August 3rd to 30th

Where did you hear about Atlantic Cirque? *

atlantic_cirque_waiver_2020.pdf
File Size:	64 kb
File Type:	pdf

Download File

* Covid-19 preventative measures 2020
(read here)

Click on the documents above to agree to the terms * *

I have read the policy above and agree to the terms I have read and agree to the Covid-19 preventative measures.

Submit Summer Registration

Atlantic Cirque, serious fun since 2002!

Address

30 Oland Court, Dartmouth NS

Telephone

902.457.2227

Email

admin@atlanticcirque.com

Home
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