Casual Attendance & Open Training EOI
New students must receive a confirmation email prior to attending

I am interested in attending on a ___ basis.

Casual Class

Concession Card

Casual Open Training

Full Name of Student

Preferred Name and Pronouns

Date of Birth

Guardian's full name if under 18

Email Address

Physical Address

Contact Phone Number

Please list any medical conditions, active injuries, and medications
(or type "None")

Previous Circus Experience

None

<12 months

1-3 years

3+ years

Which areas of circus do you have experience in?

None

Completed the Intro to Aerials 10 week course

Bar Apparatus (Lyra/Trapeze)

Fabric Apparatus (Silks/Hammock/Rope)

Contortion

Adagio/Partner Acro/Handstands/Tumbling

Object Maninulation (Juggling/Hula Hoops)

Other Relevant Activity

What class/es are you interested in attending?
(Please say what date you would like to attend/start attending on)

Emergency Contact

Emergency Contact Number

Below is the Terms of Use Agreement section
Please read it and all relevant documents carefully

I understand that I must receive a confirmation email from
bookings@circotica.com before I can attend.

I have read and understood the 'Conditions of Members'
document. I agree to abide by the student conditions and
agree to the Student Waiver.

I confirm that I have read the information pertaining
to Concession Cards and Casual Booking under the
Enrollment tab of the Circotica Website and agree
to the conditions of purchase.

Casual Attendance & Open Training EOI New students must receive a confirmation email prior to attending

Casual Attendance & Open Training EOI
New students must receive a confirmation email prior to attending