REGISTRATION SUMMER

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REGISTRATION SUMMER CLASSES

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

* 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): *

Adults: Tues 8:15pm-10pm (ages 18+) Circus 2: Wed 6pm-7:15pm (ages 7 to 12) Intermediate: Wed 7:30pm-9pm (ages 13 to 17) Circus 1: Thurs 6pm-7:15pm (ages 7 to 12) Apprentice: Thurs 7:30-9pm (ages 13 to 17) Mini-Ninja: Sat 9am-9:50am (ages 5 to 7) Mini-Ninja: Sat 10am-10:50am (ages 5 to 7) Junior-Ninja: Sat 11:10am-12pm (ages 8 to 12) Circus 1: Sat 12:15pm-1:30pm (ages 7 to 12) Little-Circus: Sun 12:05pm-12:55pm (ages 5 & 6)

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

Where did you hear about Atlantic Cirque? *

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

Download File

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
Programs
Parties & Groups
Camps
- Summer Camps
- March Break Camp
Entertainment
About Us