Glencoe Elementary After School Circus Arts Class Registration Form
Have you ever wanted to join the circus? Come learn circus skills for all levels and ages!
Our Class is designed to give kids both challenges and success in mastering new skills.
This workshop includes Clown skills, stilt walking, juggling, unicycling, tight rope, and much more.
At the conclusion of the workshop the students will perform their own Circus show
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Glencoe Elementary After School Circus Arts Class Registration Form
Classes will be held in the Gym 2.30pm-4pm on Wednesdays Starting 1/11/23 and concluding on 3/23/23
There will be 11 Sessions
The Fee will be $275  
(Payment made to Circus Cascadia prior to commencement of classes,
Payments can be made on our website on Paypal,.

Students Name
Students Grade and Age
Afternoon Teacher:
Student Allergies/Medical Condition
Parents Name
Parents Phone No.
Parents Email.
Photo Release.                                                                                                                                                                       I give my permission for photographs and/or other forms of media to be used for program documentation without compensation to my child or myself. I understand no names will be used in these publications.*
Your answer

For Circus Workshop Related Activities.
I give my permission for my child to learn to walk on stilts, unicycle, tightrope, juggle and all other circus arts offered.
I release, hold harmless, and discharge, Circus Cascadia from any liability, claims and causes of action, which may arise.
I understand that Circus Cascadia will, at all times, assist and supervise my child in a safe and supportive manner. 
Please respond with your name and the date, thank you .       
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