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Enrolment Form
When filling out this form (18 years old +)*
- I am registering myself
- I am a parent or guardian registering on behalf of a child
Are you...*
- Enrolling for the first time
- Re-enrolling
Your Name*
First Last
Email*
Phone*
Address*
Street Address ZIP / Postal Code
Class Selection
Would you like to book in for a term or holiday workshop?*
SELECT AN OPTION BEFORE MOVING FORWARD
Number of people running away to the circus?*
Choose your class:*
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Individual Medical Details
Do you have any relevant limitations or medical conditions Flipside Circus needs to consider?
- Yes
- No
Please outline these limitations
Individual Marketing Consent
Would you like to receive email updates about workshops, performances and circus related opportunities?*
- Yes
- No
Flipside Circus may take and use video or photographic images of their classes for promotional and documentation purposes. Do you agree to consent to Circus Participant 1's image being used?*
- Yes
- No
Emergency Contact Person
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Primary Contact Person
Are you the primary contact for correspondence about invoices, workshops etc?*
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Primary Contact Details
Please provide the contact details for the primary contact for invoices, workshop attendance etc.
Name
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Circus Participant 1
Select your workshop:*
Select your class:*
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Participant Name*
First Last
Date Of Birth*

Day
Month
Year
Gender*
Flipside Circus may take and use video or photographic images of their classes for promotional and documentation purposes. Do you agree to consent to Circus Participant 1’s image being used?*
- Yes
- No
Explore Circus
Does your child have any injuries, hypermobility, allergies or medical conditions we should be aware of?*
Is there anything specific that you hope for your child to gain from the program?*

For example, core strength, social skills, gross and fine motor skills, turn taking, etc.
Is there a particular way that your child prefers to learn?*

For example, visual, repetition, etc.
How does your child communicate?*

For example, speech, AAC, sign language, etc.
How does your child usually interact with other children and adults?*
Is there anything in particular that your child likes and dislikes?*
Participant 1 Medical Details
Do you have any relevant limitations or medical conditions Flipside Circus needs to consider?
- Yes
- No
Please outline these limitations
Circus Participant 2
Which Class?*
Which Class?*
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Day
Field in development. Not required.
Participant Name*
First Last
Date Of Birth*

Day
Month
Year
Gender*
Flipside Circus may take and use video or photographic images of their classes for promotional and documentation purposes. Do you agree to consent to Circus Participant 2’s image being used?*
- Yes
- No
Participant 2 Medical Details
Do you have any relevant limitations or medical conditions Flipside Circus needs to consider?
- Yes
- No
Please outline these limitations
Circus Participant 3
Which Class?*
Which Class?*
Hidden
Day
Participant Name*
First Last
Date Of Birth*

Day
Month
Year
Gender*
Flipside Circus may take and use video or photographic images of their classes for promotional and documentation purposes. Do you agree to consent to Circus Participant 3’s image being used?*
- Yes
- No
Participant 3 Medical Details
Do you have any relevant limitations or medical conditions Flipside Circus needs to consider?
- Yes
- No
Please outline these limitations
Flipside Circus may take and use video or photographic images of their classes for promotional and documentation purposes. Do you agree to consent to Circus Participant 4’s image being used?*
- Yes
- No
Notes
How can we help?
INDEMNITY TERMS AND CONDITIONS*
- I have read and accepted the Flipside enrolment and refund policy.
IMPORTANT
Your enrolment is subject to availability and clicking the submit button does not guarantee a place in this class. One of our friendly staff members will contact you to confirm your enrolment and organise your payment.

Brisbane Circus Centre
221 MacArthur Avenue, Hamilton, Queensland 4007
Yagarabul and Turealbul Country
PO Box 50, Alderley, Queensland 4051

General Enquiries Form

+61 7 3352 7233

Brisbane Circus Centre
221 MacArthur Avenue, Hamilton, Queensland 4007
Yagarabul and Turealbul Country
PO Box 50, Alderley, Queensland 4051

General Enquiries Form

+61 7 3352 7233

ACKNOWLEDGEMENT OF COUNTRY

Flipside Circus acknowledges the traditional owners of the lands upon which we work, train, and perform. We acknowledge the continued occupation of the Yagarabul and Turealbul peoples, and their interaction with the land for over 60,000 years. We also pay our respects to the Traditional Elders and all elders past and present, for their contribution to what we enjoy today.

TERMS & CONDITIONS

© TEXT Flipside Circus. All Rights Reserved.

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+61 7 3352 7233

General Enquiries Form

Brisbane Circus Centre
221 MacArthur Avenue
Hamilton, Queensland 4007
Yagarabul and Turealbul Country
PO Box 50, Alderley, Queensland 4051

Artistic
Circus School
For Educators
Birthday Parties
Brisbane Circus Centre
Corporate
Community
About Us
Support Flipside
News
Contact Us

FLIPSIDE CIRCUS

+61 7 3352 7233

General Enquiries Form

Brisbane Circus Centre
221 MacArthur Avenue
Hamilton, Queensland 4007
Jagera and Turrbal Country
PO Box 50, Alderley, Queensland 4051

Artistic
Circus School
For Educators
Birthday Parties
Brisbane Circus Centre
Corporate
Community
About Us
Support Flipside
News
Contact Us