Participant Registration

Camden After-school / Squad Registration

Squad members learn circus techniques, life skills, and build trust with teens from other neighborhoods. They lead community engagement through workshops and performances for younger children and families. Squad is for ages 11-18. Join us after school on Fridays from 4-6 pm. Tuition is FREE. The Camden Squad meets at the Michael J. Doyle Fieldhouse, a Community Center and Gymnasium, located at 1840 S. Broadway, in Camden’s Waterfront South.
Parent/Guardian Name*

Parent First NameParent Last Name
Acct Record Type
Contact Record Type Participant
Household Name
Contact Record Type General
Full Name Parent
Parent/Guardian Gender*

MaleFemaleNonbinaryChoose not to respond
Relationship to Participant*
Phone Number*
Please enter a phone number.
Parent Email Address*
example@example.com
Home Address*

Street Address & Apt

Street Address Line 2

CityState

Zip Code
Language Spoken at Home*

EnglishSpanishOther
Emergency Contact
Other than Parent/Guardian
Emergency Contact Name*

First NameLast Name
Emergency Contact Relationship to Participant*
Emergency Contact Phone Number*
Please enter a phone number.
Emergency Contact Email Address*
example@example.com

Permissions and Waivers
I hereby give permission for TCS staff to administer first aid as needed
In the event of an emergency when parent, guardian, and emergency contact cannot be reached, I hereby give permission to the medical personnel selected by TCS to administer emergency care.
I give permission for the image and voice of the participant to be used by the Trenton Circus Squad in any media for publicity.
I give permission for the participant to travel by car with the Trenton Circus Squad staff.
I give permission for the participant to leave Trenton Circus Squad unaccompanied.
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Camden After-school / Squad Registration