NTP Registration National Training Project - Registration Step 1 of 8 12% Participant Details Name First Last Address* Address City State Post Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Phone Mobile* Email* Enter Email Confirm Email Date of Birth* dd/mm/yyyy Billing Address Yes - I have a different billing address Invoice Details Organisation Contact Name* Address* Street Address Address Line 2 City State Post Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Phone Mobile* Email Next of Kin / Emergency Contact Name* Phone Mobile* Relationship to Participant Do you have health insurance?* Yes No Do you have ambulance insurance?* Yes No Which one? Medical Details (held in confidence) Do you suffer from any of the following? Allergies Asthma Diabetes Seizure Disorder Hearing Impairment Intellectual/Learning impairment (Dyslexia) Mental Health or Behavioral Issues (ADHD, Depression) Are you carrying any physical injuries? Are you recovering from an injury? Other If you have ticked any of the above boxes, please provide further details.* Do you have any special dietary requirements?* Yes No Please list them below:* BEFORE YOU BEGIN… Please select ONLY 6 skills from the following list and preference from 1 to 6, with 1 being your first choice and 6 your last. Each participant will focus on 4 skills during the program and we will do our utmost to prioritise the skills you nominate. The final offer will be made according to availability and we can’t guarantee to meet all your preferred options. Allocations are made in order of registrations received, so the earlier you are registering the more likely it is we can accommodate your priorities. If you wish to train together with a partner or group, please indicate. Please make sure you carefully consider your skill level and read our Skill Level Descriptor before you commence this form. You can read about our NTP Trainers here. Members of affiliated youth circus organisations receive a discount, please make sure you register as a student by choosing from the drop down list. Chinese Pole Skill level* Basic Intermediate Advanced Adagio (advanced level only) Training Partner/s Static Cloudswing Skill level* Basic Intermediate Advanced Swinging Cloudswing Skill level* Basic Intermediate Advanced Double Trapeze Skill level* Basic Intermediate Advanced Training Partner/s Static Trapeze Skill level* Basic Intermediate Advanced Pyramids Skill level* Basic Intermediate Tissu Skill level* Basic Intermediate Advanced Tramp Wall Skill level* Basic Intermediate Advanced Aerial Ring/Lyra Skill level* Basic Intermediate Advanced Straps Skill level* Basic Intermediate Advanced Juggling Skill level* Basic Intermediate Advanced Training Partner/s Teeterboard Skill level* Intermediate Advanced Training Partner/s Corde Lisse / Rope Skill level* Basic Intermediate Advanced Handstands Skill level* Basic Intermediate Advanced Tumble Skill level* Basic Intermediate Advanced Trampoline Skill level* Basic Intermediate Advanced Hoop Diving Skill level* Basic Intermediate Advanced Active Flex Sign up for additional creative classes and opportunities, offered free of charge to NTP participants. There will also be opportunities to sign up during NTP. HOW TO START MAKING A SHOW Anni Davey, Artistic Director of the Flying Fruit Fly Circus, takes you through guided physical performance making tasks equipping you with tools and techniques for creating material. WEEK 1: Monday, Tuesday, Wednesday 4.30pm – 6pm WEEK 2: Monday, Wednesday 4.30pm – 6pm NTP CREATIVE CABARETS Got an act you’re keen to perform? This is your chance to be involved in a informal cabaret performance on the training floor and show your acts to a keen and supportive crowd. Bring your act, equipment and a piece of music! Thursday 4 July, 6.30pm – 7.30pm Tuesday 9 July, 6.30pm – 7.30pm Thursday 11 July, 6.30pm – 7.30pm THE BIG HOORAH! A special winter variety night of vaudeville, circus and cabaret to celebrate 40 years of the Flying Fruit Fly Circus. Join us at The Cube Wodonga for a great night out featuring performances by local artists and special NTP guests. Saturday July, 7.30pm The Cube Wodonga, 118 Hovell St Wodonga NTP participants are invited to pre-purchase tickets during registration for just $18 per ticket (saving $7 a ticket!) I want to purchase Choose your tickets here0 Tickets1 Ticket2 Tickets3 Tickets4 Tickets If you would like to purchase more than 4 tickets, please call us on 02 6043 0780 to arrange, and select 0 tickets in your registration above. Are you a current member of one of our Affiliate Circus Groups?* Yes No What is the name of the Affiliate Circus Group?* -----------------------------------Flying Fruit Fly CircusSpaghetti CircusWarehouse CircusCircus MonoxideCirkidzCircus OzCircus SpotWestside CircusFlipside CircusCastlemaine CircusCircus WestAerializeNICASprung CircusWild Star DanceSydney Trapeze SchoolCorrugated IronFling Physical TheatreCirca Other Circus* Fee Schedule* While every care has been taken in the preparation of this information, the Flying Fruit Fly Circus reserves the right to alter details of programs at any stage. Refunds will only be issued if notice is given at least one month in advance. If notice is given within this time 75% of the fee will be refunded. All classes are subject to a minimum and maximum number of participants. Wherever possible a ratio of 5:1 student to trainer will be observed. If a class is cancelled or altered for any reason, you will be notified immediately. -----------------------------------1 Week - $650 inc GST2 Weeks - $1170 inc GST Fee Schedule - FFFC Students Only* As a part of being Flying Fruit Fly Circus student, you are entitled to a 50% discount on the National Training Project. While every care has been taken in the preparation of this information, the Flying Fruit Fly Circus reserves the right to alter details of programs at any stage. Refunds will only be issued if notice is given at least one month in advance. If notice is given within this time 75% of the fee will be refunded. All classes are subject to a minimum and maximum number of participants. Wherever possible a ratio of 5:1 student to trainer will be observed. If a class is cancelled or altered for any reason, you will be notified immediately. -----------------------------------1 Week - $325.00 inc GST2 Weeks - $585.00 inc GST Fee Schedule - Affiliate Circus Group Booking* Please note you must be a current student or trainer of one of the Affliate Circus Groups to qualify for the 10% discount. While every care has been taken in the preparation of this information, the Flying Fruit Fly Circus reserves the right to alter details of programs at any stage. Refunds will only be issued if notice is given at least one month in advance. If notice is given within this time 75% of the fee will be refunded. All classes are subject to a minimum and maximum number of participants. Wherever possible a ratio of 5:1 student to trainer will be observed. If a class is cancelled or altered for any reason, you will be notified immediately. -----------------------------------1 Week - $585.00 inc GST2 Weeks - $1053.00 inc GST I am attending* First Week Only Second Week Only Is the participant under 18 years old?* Yes No Every trainee (or parent/guardian of participant under 18 years old) is required to complete the section below. I fully understand the nature of the NTP classes and give consent to participate, knowing and accepting the FFFC ensures that activities are carried out responsibly and with full attention to safety. I understand that I am responsible to pay all medical and/or ambulance costs if necessary, which may occur as a result of my/the child’s actions to him/herself during the program. I also give permission for persons authorised by the FFFC to seek appropriate medical aid in the event that my child is or I am injured. I agree to indemnify the FFFC from any liabilities, claims and causes of action that may be brought against the FFFC as a result of or in connection with any act, omission, failure or error on the part of the FFFC occurring wholly or partially during my participation in the project. I consent to being photographed, filmed and/or interviewed during the National Training Project or specific media calls at the Flying Fruit Fly Circus. I further consent to FFFC using the photgraphs, images or interviews to promote and publicise activities. You are required to advise FFFC trainers if you have any medical concerns that may affect your training. Disclaimer: 2nd July - 13th July 2018* I understand that by signing this agreement I accept full responsibility for my own personal safety within the premises of 605 Hovell Street, Albury and waive any rights to claims for compensation from the Flying Fruit Fly Foundation, (t/a Flying Fruit Fly Circus [FFFC]). I agree to abide by the following conditions: 1. I will complete the FFFC induction prior to starting the National Training Project. 2. I will undergo training in a safe and responsible manner toward others and myself at all times. 3. I agree that there will be no alterations to any rigging equipment under any circumstances. 4. I agree that I will advise the Project Director of any falls or accidents that may affect the condition and life expectancy of equipment. 5. I agree that I am only entitled to use the training facilities during scheduled times and dates. 6. I consent to being photographed, filmed and/or interviewed during the National Training Project or specific media calls at the Flying Fruit Fly Circus. I further consent to FFFC using the photographs, images or interviews to promote and publicise activities.