Generations Circus Academy Sign-up
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Student Name
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First Name
Last Name
Student Date of Birth
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Day
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Month
Year
Date
Parent/Carer Name (if student is under 18 years)
First Name
Last Name
Contact Email Address
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example@example.com
Main Address
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Street Address
Street Address Line 2
Town
County
Postal Code
Contact Number
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Please enter a valid phone number.
Circus Class Selection
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Popcorns (Age 3-4) Mondays 4 - 4:45
Aerial Silk & Hoop (Ages 10-18) Tuesdays 7:30 - 8:30
High Flyers (11yrs +) Friday 4:15 - 5:15
Big Tops (5-10yrs) Friday 5:15 - 6:15
Adult Aerial Silk & Hoop (18+) Friday 6:15 - 7:15
Emergency Contact Name
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First Name
Last Name
Emergency Contact Number
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Please enter a valid phone number.
I agree, understand and adhere to Generations Circus Academy Policies.
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Please read our
POLICIES HERE.
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