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
Email address *
Circus Classes to start at Glencoe 1/14/19
Classes will be held in the Gym 2.30pm-4pm on Mondays Starting 1/14/19 and concluding on 3/18/19
There will be 8 Sessions
The Fee will be $150
Payment made to Circus Cascadia on commencement of classes,
Payments can be made on our website on Paypal,
http://www.circuscascadia.org/after-school-workshops.html
or in person
Students Name *
Your answer
Students Grade and Age *
Your answer
Afternoon Teacher: *
Your answer
Student Allergies/Medical Condition *
Your answer
Parents Name *
Your answer
Parents Phone No. *
Your answer
Parents Email. *
Your answer
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
Submit
Never submit passwords through Google Forms.
This form was created inside of Paul BATTRAM. Report Abuse - Terms of Service