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Spring Camp Registration
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Spring Camp Registration
Thanks for enrolling in one of our circus camps; please take time to fill in all fields completely.
Spring Break Circus Camp Registration
Name of Parent or Guardian
*
First
Last
Phone
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
Student Information
Please click on the "+" sign to register additional siblings on this form.
First Name
Last Name
Age
Shoe Size
Height
Food allergies/dietary restrictions
Injuries or medical conditions
Medications
Number of students
Opt-in
Would you like to get our email Newsletter? (Typically > 1 email month)
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I'm already subscribed
May we use photo/video of you for future promotions?
Yes
No
Would you like us to share your contact info with other parents or class participants for carpooling purposes?
Yes
No
Payment
Registration Fee Total
Price:
$275.00
Have you received a scholarship?
Yes
No
Scholarship
If you've received a scholarship enter the code here.
Scholarship Discount
$0.00
Scholarship Discount
$0.00
Scholarship Discount
$0.00
Scholarship Discount
$0.00
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Pay in Full
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Remaining Balance Due
Price:
$0.00
Remaining Balance Due
Price:
$0.00
Total Due Today
$0.00
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Convenience Fee
Price:
$2.00
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Month
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Year
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Expiration Date
Security Code
Cardholder Name