Circus Training Registration Student Full Name * Student Date of Birth * Guardian Full Name (If under 18) Phone * Email * Select class * Aerial Training (Ages 10+) Open Training (Ages 13+) Past experience in acrobatics, dance, gymnastics or circus * Reminder these classes are for emerging artists so past experience is necessary Media Consent * I consent for Head Over Heels to use images/video footage of my child/me for the purpose of Aerial Training and/or Open Training class publicity and administration (all media, including internet) I understand that this may include the place and date of the image for publication without compensation to my child/me Yes Disclaimer * I wish to participate in aerial and circus training which may include resistance exercise, stretching, climbing, supporting bodyweight. I realise my participation in these activities at height involves the risk of injury and the possibility of death. I confirm I am voluntarily engaging in this training and agree to speak to a trainer if I have any concerns, injuries or medical conditions as they arise so training can be adapted accordingly. Yes Why do you want to come and train? * Thanks for submitting your Circus Kids registration for the new term. We will be in touch shortly. Please check info@headoverheels.com.au is in your address book so you catch our response.
