Circus Tots & Circus Play Booking Form
Casual class for $15 +$5 for 2nd child or adult
Term Enrolment $130 for 1 adult & 1 child
Max 2 kids per adult - minimum enrolment conditions apply.

Attendee's Information

Full name of attending adult: *

Pronouns and Preferred Name

Date of birth *

Age and Name of attending child/ren: *

Guardian's Information

Guardian's name - if not attending

Email address - for billing and contact *

Physical address *

Contact phone number: *

Medical Information: medications, recent (<1yr) injuries, conditions (or Type "None")
Developmental stage of Toddler: Walking, Running *

Previous circus experience of attending adult: *

None

<3 years

3+ years

Emergency contact name and relationship (must be of a non-attending adult) *

Emergency contact number *

I would like to book in as a

Casual

Term Enrolment

Date we would like to attend *

I have read and understood the Conditions of Members and Student Waiver document.
I agree to and will abide by these, at risk of exclusion from the class. *

I understand that as the attending adult I am responsible for supervising
and ensuring the safety and conduct of the children in my care. *

I consent to my photo being taken during classes and used for promotional purposes.

Upon submitting this form, I understand that I am enrolled unless informed otherwise and that any changes to my enrolment must be made within 3 days of submission of this form, otherwise I am liable for the full cost of the class/es. *

How did you hear about us?

* = Input is required

Circus Tots & Circus Play Booking Form Casual class for $15 +$5 for 2nd child or adult Term Enrolment $130 for 1 adult & 1 child Max 2 kids per adult - minimum enrolment conditions apply.

Circus Tots & Circus Play Booking Form
Casual class for $15 +$5 for 2nd child or adult
Term Enrolment $130 for 1 adult & 1 child
Max 2 kids per adult - minimum enrolment conditions apply.