Summer Camps
Personal Information
First Name:
Last Name:
Gender: Male
  Female
Date of Birth:
Address:
City:
Province:
Postal Code:
Phone Number:
Email:
Parent/Guardian Name:

Allergies or Medications
Please select your summer camp choice
Summer Camp 1 - July 7-11 (7 to 12 years old)
Summer Camp 2 - July 14-18 (7 to 12 years old)
Summer Camp 3 - July 21-25 (7 to 12 years old)
Summer Camp 4 - July 28-Aug 1 (7 to 12 years old)
Summer Camp 5 - Aug 11-15 (7 to 12 years old)
ADVANCED Summer Camp 2008 - Aug 18-22 (12 yrs & up)

By registering for one of Atlantic Cirque’s classes/camps, I am acknowledging that I am aware of the following:
(please check)

Every cancellation within 14 days or less from the start of the camp will incur a $100 cancellation fee.

There will be no refund once the camp has started.

A $100 deposit is due upon registration, the balance is due on the first day of camp and a $20 insurance fee will be charged per student, per week.
Please complete a new registration submission for each member and/or each course you wish to register for.

* All classes are subject to enrollment.

* Atlantic Cirque reserves the right to cancel a class due to limited enrollment.

For a full course description, visit our Summer Camp Page.