Circus Registration Form

Little Star Fitness Circus class

Circus Class Term 1: 13 January - 17 April

Child Name

Parent Name

Email Address

Phone Number

Photo release *I hereby give permission for my child’s photo to be used for promotional/marketing purposes on behalf of Little Star Fitness

I GIVE permission
I DO NOT GIVE permission

Wednesday Circus 13 weeks: € 238; Saturday Circus 12 weeks: € 228

Wednesday Circus 6 weeks: € 140; Saturday circus 6 weeks € 130

Circus class selection

I acknowledge that I understand there is a risk of injury and I accept the risks and would like my child to participate in the activities. I understand that it is my responsibility to consult with a physician prior to and regarding any participation in these activities especially if health issues are a concern. I attest that my child is physically fit and has no medical conditions that would prevent their participation in these activities. I agree to assume full responsibility for any risks or injuries. I agree to inform the instructor(s) or staff of Little Star Fitness NL of any physical limitations, physical discomforts and/or injuries, and I take full responsibility for nondisclosure.

I have read and agreed to the Terms of Service

Subtotal €238.00

Processing fee €0.00

Total due €238.00

ABOUT US
Little Star Fitness provides a number of fun and innovative programs such as, sport, circus, fitness, aerial silks, cheerleading, dance, birthday party’s and holiday camps. These classes are specifically designed for children between the ages of 2-12
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CONTACT
Phone: 0611076992 (9am-5pm)
Email: info@littlestarfitness.com
kvk-nr: 81427107
BTW-nr: NL003561919B41