Circus Training Registration Student Full Name * Student Date of Birth * Guardian Full Name (If under 18) Phone * Email * Classes Performance Squad (12+) Aerial Basics (18+) Aerial Skills (18+) Partner Acro (18+) Open Training - by invitation Past experience in acrobatics, dance, gymnastics or circus * 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 and/or supporting bodyweight. I realise my participation in these activities at the BOORN Play Centre premises 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 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.