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Public Classes Registration Request
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*
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- Student Information
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Participant Details
Name
*
First
Last
Date of Birth
*
Gender
Female
Male
Other
Please indicate which class you are registering your interest for:
*
Tots & Parents (Wednesday, Ages 1.5 - 3)
Circus Tots (Thursday, Ages 2.5 - 4)
Circus Tots (Friday, Ages 2.5 - 4)
Circus Tots (Thursday, Ages 3.5 - 5)
Circus Tots (Friday, Ages 3.5 - 5)
Circus Pre-School (Wednesday, Ages 4-6)
Home School Circus (Tuesday, Ages 4 - 8)
Home School Circus (Tuesday, Ages 9 - 14)
Circus Arts (Saturday, Ages 4 - 6)
Circus Arts (Saturday, Ages 6 - 8)
Circus Arts Foundation (Saturday, Ages 8 - 12)
Circus Arts Development (Saturday, Ages 8+)
Night Flies Junior (Tuesday, Ages 6 - 10)
Night Flies (Tuesday & Thursday, Ages 10 - 19)
Night Flies Adult (Monday, Over 16)
Fruit Bats (Thursday, Over 50)
Is there anything we should know?
Main Contact
All correspondence will be sent to the Main Contact. Once we are able to confirm your enrolment we will ask for a second 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 classes at the Flying Fruit Fly Circus. Someone from our team will be in touch with you to discuss your registration request.
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