Winter/Spring 2020 Hyde Park Circus Classes for grades K-1 and 2-6 conducted by My Nose Turns Red Youth Circus. Please contact MNTR rednose@fuse.net if you have any questions.
Fridays. Jan 10 to May 1. No Class Feb. 7, March 13, April 17. $185, $145 for additional siblings. Participants will be invited to perform as part of the My Nose Turns Red Youth Circus Extravaganza May 10, 2pm.
I am registering my child for: *
Child's First Name: *
Your answer
Child's Last Name: *
Your answer
Birthday: *
MM
/
DD
/
YYYY
Grade: *
Your answer
Name of Teacher: *
Your answer
Shirt Size: *
Your answer
Street Address: *
Your answer
Address#2 (if applicable)
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Home Phone:
Your answer
Parent/Guardian #1 First Name: *
Your answer
Parent/Guardian #1 Last Name: *
Your answer
Parent/Guardian #1 email: *
Your answer
Parent/Guardian #1 cell phone: *
Your answer
Parent/Guardian #2 First Name:
Your answer
Parent/Guardian #2 Last Name:
Your answer
Parent/Guardian #2 email:
Your answer
Parent/Guardian #2 Cell Phone:
Your answer
Emergency Contact Full Name: *
Your answer
Emergency Contact Cell Phone: *
Your answer
How did you hear about My Nose Turns Red Youth Circus:
Your answer
Medical Information. Does the student have any of the following conditions that we shuld be aware of?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy