Adv.Teens and Adult Bootcamp 2024

Participants Registration Form

Fill out the form carefully for registration
Student Name*

First NameMiddle NameLast Name
Email*
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Phone Number

Area CodePhone Number
Emergency contact *

First NameLast Name
Mobile Number*

Area CodePhone Number
Tuesday Sept. 3rd

Balancing Bonanza Ground skiills ( 6h30-7h30pm)Silks Climbs + Belays + partner stretch (7h30-9pm)
Wedn Sept. 4th

Tap dancing 6h30-7h30pmHour glass ( trapeze + loop) + abs (7h30-9 pm)
Thursday Sept. 5th

Ground Fiesta part 2 6h30-7h30 pmSpanish web + Body Loops + Cyr Wheel + Abs ( 7h30-9pm)
Waitlist: Please let us know which class you are interested in, type , day and time you are looking for.

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Cirquetastic during the selected class. In exchange for the acceptance of said child’s candidacy by Cirquetastic, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Cirquetastic and all its respective directors, coaches and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected class and sessions.

In case of injury to said child, I hereby waive all claims against Cirquetastic including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including Circus, acrobatics & trampoline. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

Refunds are issued for medical reasons only and a medical certificate or doctor's note must be provided. Medical cancellation will receive a pro-rated refund (less $30 for administrative fee ).

We do not offer make-up classes , refunds or credits for classes that you have missed.

Refunds or credits are not offered if classes are canceled due to extreme weather or failure with heaters in the studio.

This is out of the coaches control.

Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Participants Registration Form