Workshop Bookings Ages 16+
Please list any relevant medical conditions, active injuries, and medications. These will be kept confidential. (or type "None") *
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. Cancellations must be emailed to Bookings@Circotica.com *
I have read and understood the Conditions of Membership document. I agree to abide by the student conditions and agree to the Student Waiver & Consent Agreement. *
I consent to photos of me being taken at this event and to their use by the instructors and Circotica Circus School Inc for promotional purposes.