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Ages 7 to 12
Ages 13 to 17
Ages 18 and up
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>
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PRIVATE GROUP REGISTRATION FORM
Fall 2026 (once a week for 15 weeks) from September 7th to December 14th
- - -
*
Indicates required field
Name
*
First
Last
Date of Birth
*
Gender
*
Male
Female
Neutral
Parent / Gardian (if under the age of 18)
*
Email
*
Phone Number
*
Address
*
City / Province
*
Postal code
*
Select the workshop(s) you are signing up for
*
Monday 10-10:50am Wee-circus (ages 3 to 5)
Monday 11-11:50pm Little-Circus (ages 6 to 9)
Monday 12-12:50pm Circus 1 (ages 10 to 12)
Monday 1-1:50pm Teens (ages 13+)
Where did you hear about this?
*
Atlantic Cirque
Facebook
Friend
Other
Allergies / Medications
*
Emergency Contact Info
*
atlantic_cirque_ltd.__22terms___policy_22_.pdf
File Size:
144 kb
File Type:
pdf
Download File
Click on the pdf document above to agree to the terms
*
I have read the policy above and agree to the terms
Submit Registration
Home
Programs
Babies & Toddlers
Ages 3 and 4
Ages 5 and 6
Ages 7 to 12
Ages 13 to 17
Ages 18 and up
Schedule & Dates
>
Payment plans
Private Lessons
Parties & Groups
Toddler Birthday Parties
Kids Birthday Parties
Group Bookings
>
Homeschool Registration 2026
Holiday Parties
Corporate Team Building
Camps
Summer Camps
March Break Camp
About Us
About Us
Contact Us
Meet Our Team
Boutique
Terms & Policies
FAQ