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First Time Enrolments

To book your child into a Flipside Circus class, simply fill in the form below. We know it's a little long, but it's all important information. If your child has previously enrolled in one of our circus classes, you only need to complete the Re-Enrolment form.


To book your child into a School Holiday Workshop, click here.


Your Child
 
Sex:

Parent 1 details


Parent 2 details
 

More information
 

Medical details
 
Does your child have any impairments or disabilities:
Are there any relevant limitations or medical conditions:
Is your child on any medication:
Does your child suffer from any allergies of any kind:
Do you have private health insurance:

Which classes?

 
Does your child have previous experience in any of the following? (Don't worry if your answer is 'No'! That is why we are here!):


 
What does you child hope to gain from Circus?:


 Child Interests
Are there particular skills your child would like to obtain?:



Risk and Liability
 
As the parent or legal guardian/caregiver of the above listed student I hereby consent to the above named person participating in the programs offered by Flipside Circus. I recognise that potentially severe injuries, including sprains, strains, broken bones, permanent paralysis or death, can occur in any activity involving height or motion or juggling. I also realize that my child will be performing and training for circus events using various training devices. I further understand that while the payment of tuition and registration fees constitutes a part of the consideration due to Flipside Circus for allowing my child to use the facilities and equipment of Flipside Circus, an additional and important part of the consideration due to Flipside Circus is this signed release form. Therefore, in consideration for allowing my child to use the Flipside Circus’s equipment and facilities, I hereby forever release Flipside Circus its management committee, officers, employees, trainers, and coaches from all liability for any and all damage and injuries suffered by my child while under the instruction, supervision or control of Flipside Circus, its management committee, officers, employees, teachers or coaches. As the parent or legal guardian of the aforementioned person, I hereby agree to individually protect for the possible future medical expenses which may be incurred by my child as a result of any injury sustained while training or performing at, for, or under the direction of Flipside Circus.


Code of Ethics
 
All Flipsipe Circus participants must adhere to the Statement of Ethics and Code of Conduct.

Medical Consent
 
It may be essential at some time for the lead trainer or Circus staff accompanying your son/daughter to have the necessary authority to obtain any urgent medical treatment which may be required whilst at performance or training. Being the parent/guardian of the above named child, I hereby give permission for the Flipside staff to give the immediately necessary authority on my behalf for any medical or surgical treatment recommended by competent medical authorities, where it would be contrary to my son/daughter's interest, in the doctor's medical opinion, for any delay to be incurred by seeking my personal consent. This acknowledgment of risk, waiver of liability and emergency medical consent form, having been read thoroughly and understood completely, is signed voluntarily as to its content and intent.

Photography Consent
 
Sometimes during workshops photographs and/or video footage may be taken. These items may be used either within Flipside Circus, on television, on the Flipside Circus web site or in printed material. The photos will be used as promotion and will NOT contain your child’s name. Do you give permission for us to take photographs and/or video footage?



Flipside News
 
Would you like to be kept informed of all the latest Flipside news, new classes, holiday workshops and show invites? If yes, please sign up for our email newsletter. We guarantee that we will not pass your email address onto any third party.



Final Confirmation