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Circus Arts Registration Request
Step
1
of
2
- Student Information
50%
Student Details
Name
*
First
Last
Date of Birth
*
Gender
Female
Male
Other
Please indicate which class you are registering your interest for:
*
9.15am class (Ages 4 & 5)
10.30am class (Ages 6 & 7)
1.00pm class (Ages 8 - 10)
3.30pm class (Ages 11 - 18)
Is there anything we should know?
Parent / Guardian 1
All correspondence will be sent to Parent/Guardian 1. Once we are able to confirm your enrolment we will ask for a second Parent/Guardian contact.
Name
First
Last
Street Address
Address Line 2
City
State
Postcode
Phone (Home)
Phone (Work)
Mobile
Email
*
Would you like to receive the FFFC email newsletter?
Yes
No
Thank you for your interest in our Circus Arts classes at the Flying Fruit Fly Circus. Someone from our team will be in touch with you to discuss your registration request.