Circus Club | Toronto Circus Centre

Circus Club Registration

Ages 6 – 11

Experience life under the big top. There is something for every junior circus star in training in this program. Juggling, floor and partner acrobatics, aerial trapeze, hoop, rope and silks. Increase strength, flexibility, co-ordination, confidence and creativity. Enhance performance in any sport. Students invite parents to a circus show at the end of the year – an attraction not to be missed!

Fall Term, Sep – Dec 2018:

– Mondays, East End location (1300 Gerrard Street E @ The Redwood) Details coming soon!!
– Monday scheduling note: no classes on Sept 3rd & Oct 8th
– Wednesdays (16 weeks), Leaside location (822 Millwood Road @ Leaside United Church), Sep 5th – Dec 19th, 4:00 – 5:30 pm, $400 + HST
– Saturdays (14 weeks), Leaside location (822 Millwood Road @ Leaside United Church), Sep 8th – Dec 22nd, 9:00 – 10:30 am, $350 + HST
– Saturday scheduling note: no classes on Oct 6th & Oct 13th
– Drop-in rate per-class (all days, both locations): $35 tax included

Circus Club Registration

If you are human, leave this field blank.

Session Dates

Select which day(s) of the week Student(s) will attend Circus Club

Class Selection *

Single Class Drop-in

Wednesdays, Leaside location, Sep 5 - Dec 19, 4-5:30 pm

Saturdays, Leaside location, Sep 8 - Dec 22, 9-10:30 am

If minimum class size is not met, TCC reserves the right to cancel class with advance notice and full refund. NOTE: East End registration coming soon!

Drop-In Date *

Tell us date you wish to come for first drop-in class.

Location *

Leaside: Toronto Circus Centre @ Leaside United Church, 822 Millwood Road

East End: Toronto Circus Centre @ The Redwood, 1300 Gerrard Street East

Drop-in availability begins on March 19th

Family Information

Family Last Name *

Street Address *

Address line 2 (if applicable)

City *

Province *

Postal Code *

Login Details

NEW USERS: These will be your login details for Toronto Circus Centre Registration. Logging in will enable you to auto-fill data for future class and camp registration forms. RETURNING USERS: please log in before filling form, thank you!

Email Address *

Enter Email

Confirm Email Address *

Confirm Email

Password *

Enter Password

Confirm Password *

Confirm Password

Parent/Guardian Contact #1

Contact #1 First Name *

Last Name *

Relationship * Relationship

Primary/Cell Phone *

Work Phone

Home Phone

Add Second Parent/Guardian Contact? *

Yes

Parent/Guardian Contact #2

Contact #2 First Name *

Last Name *

Relationship * Relationship

Primary/Cell Phone *

Work Phone

Home Phone

Pick-up approval

Parent/Guardian Contact #2 is NOT approved for child pick-up.

Emergency Contact

This person must be available during class hours via at least one of the provided phone numbers.

Emergency Contact *

Same as Parent/Guardian Contact #1 above

Emergency Contact other than someone already provided

Emergency Contact Person *

Same as Parent/Guardian Contact #1 above

Same as Parent/Guardian Contact #2 above

Emergency Contact other than someone already provided

Emergency Contact First Name *

Last Name *

Relationship * Relationship

Primary/Cell Phone *

Work Phone

Home Phone

Pick-up approval

Emergency Contact is NOT approved for child pick-up.

Permission to Pick Up

Additional Persons approved to Pick Up Student(s)

List anyone who you also wish to approve for child pick-up in addition to Parent/Guardian Contacts & Emergency Contact.

Number of Students

Number of Students to Register for this Class *

Student Details

Student First Name *

Last Name *

Date of Birth *

Gender *

School Name (if applicable)

Grade Level Grade Level

Medications

Allergies

Special Needs/Physical Limitations/Other Notes

Doctor's Name

Doctor's Office Phone Number

Student's Health Card #

Student #2 Details

Student #2 First Name *

Last Name *

Date of Birth *

Gender *

School Name (if applicable)

Grade Level Grade Level

Medications

Allergies

Special Needs/Physical Limitations/Other Notes

Doctor's Name

Doctor's Office Phone Number

Student's Health Card #

Student #3 Details

Student #3 First Name *

Last Name *

Date of Birth *

Gender *

School Name (if applicable)

Grade Level Grade Level

Medications

Allergies

Special Needs/Physical Limitations/Other Notes

Doctor's Name

Doctor's Office Phone Number

Student's Health Card #

Student #4 Details

Student #4 First Name *

Last Name *

Date of Birth *

Gender *

School Name (if applicable)

Grade Level Grade Level

Medications

Allergies

Special Needs/Physical Limitations/Other Notes

Doctor's Name

Doctor's Office Phone Number

Student's Health Card #

Balance due

Total including 13% HST $

Payment instructions will be emailed with registration confirmation. Installment plans available on request.

Terms & Conditions

Be sure to check ALL boxes before submitting form

Conduct Policy *

Toronto Circus Centre Inc. is committed to creating an environment of safe, non-competitive learning and activity for the physical and overall well-being of all its participants and staff. We challenge our participants to be their physical best while nurturing attitudes of mutual respect and cooperation. With an emphasis on personal accomplishment at one’s own pace and skill level, we share and celebrate our successes to strengthen positive mental state and create a foundation for a fit and active life. As a part of this commitment, Toronto Circus Centre Inc. requires its participants, coaches/staff, parents, etc. to treat one another with courtesy, respect, and fairness.

The following behaviour by participants, their parents, friends or any others will not be tolerated and will lead to dismissal of the participants from the program offered by Toronto Circus Centre Inc., including but not limited to:

1. Any act that violates federal, provincial or municipal laws or by-laws, or any violation of the Toronto Circus Centre Inc.'s policies and procedures.
2. Gross misconduct, inappropriate horseplay, theft, fighting, or any behaviour which may lead to property damage or which may affect the safety and well being of others.
3. Willful destruction of property (including that caused by inappropriate horseplay, fighting, etc.).
4. Disregard of the coach's instructions during class, being abusive, belligerent or in any way compromising the safety of, delivery of instruction to, or the enjoyment of the class by, other participants of the program.

I have read and agree to the Conduct Policy

Payment & Cancellation Policy *

Payment in full is considered due at time of registration. Spot(s) in class are not guaranteed until payment is processed. We are, however, also happy to work with you on payment installment plans, on request and as agreed upon by both parties. Contact us for details or leave a note in the Comments section below. Late registrations are accepted if space permits. $40 fee is charged on all NSF payments.

For Drop-In: payment is due before beginning of drop-in class.

For those signing up for full terms: In case of class participation being cancelled for medical reasons, and when accompanied by a doctor’s note, pro-rated refund of all missed classes will be processed minus a $25 admin fee. For withdrawal from class for non-medical reasons prior to start of term and with minimum 7 days notice full refund will be processed minus a $25 admin fee. Refunds are not issued for non-medical withdrawal once a program begins or within 7 days immediately prior to the start of the term.

You may switch to a different class day and/or time once you have registered, granted space is available. No refund shall be provided in the event of dismissal for breach of the Conduct Policy.

I have read and agree to the Payment & Cancellation Policy

Anti-Spam Policy *

I give my express consent to receive emails from Toronto Circus Centre Inc. regarding their programs, camps, events, promotions, and any other new or relevant information pertaining to its operations. I understand that I can withdraw my consent at any time. We never share your email address, or any other personal details, with anyone! (Should you wish to opt-out of receiving emails effective immediately, simply leave a note in the Comments box below and we will remove you from our email distribution list.)

I have read and agree to the Anti-Spam Policy

Photo/Video Policy *

I give permission for my son/daughter’s photographs/videos to be used for publicity and advertising by Toronto Circus Centre Inc., unless I expressly indicate otherwise. (Should you wish to opt-out of photo/video permission, simply leave a note in the Comments box below.)

I have read and agree to the Photo/Video Policy

Consent of Treatment *

Should it be necessary, in the opinion of a staff member of Toronto Circus Centre Inc. to render first aid or assistance to the participant(s) listed above, I hereby grant permission to the staff of Toronto Circus Centre Inc. and other medical personnel to render such aid or assistance as they may deem necessary. I have carefully read this consent for treatment of a minor and fully understand its contents. I understand and agree that, in the case of an emergency Toronto Circus Centre Inc. assumes no responsibility or obligations relative to any cost or expense related to carrying out any emergency procedures and/or emergency transportation for myself or my child.

I have read and agree to the Consent of Treatment

Assumption of Risks *

I acknowledge that circus, fitness and other activities offered at Toronto Circus Centre Inc., may involve an element of risk, which may result in bodily injury (including the risk of severe or fatal injury) to myself or my child/ward. I also acknowledge that circus activities may require the coach/staff to perform some manual spotting which involves direct physical contact and is designed to assist the participant in the safe performance of the program skills. I confirm that I, or my child, am/is fit to participate in circus activities including but not limited to climbing, tumbling, balancing, and other physical actions engaged in both on aerial equipment and on the ground.

I have read and agree to the Assumption of Risks

Release of Liability *

I, for myself and, if applicable, my child/ward, and each of our respective heirs, executors, administrators and assigns, release Toronto Circus Centre Inc. and its servants, agents, directors, officers and employees (collectively “TCC”) from any claims, demands, damages, actions or causes of actions arising out of or in consequence of any loss, injury or damage to my person or property (or, if applicable, to my child’s / ward’s person or property) incurred while attending at or participating in any activities offered at TCC, notwithstanding any such loss, injury or damage may have arisen by reason of the negligence of TCC or any person for whom it is at law responsible.

I have read the conduct policy, payment & cancellation policy, anti-spam policy, photo/video policy, consent of treatment, assumption of risks, and release of liability, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I also acknowledge that I am unaware of any physical or mental condition or impediment, which would prevent or hinder myself or my child from participating safely in the programs at Toronto Circus Centre Inc. I confirm that I have accurately reported and disclosed any medical information (physical and mental) to Toronto Circus Centre Inc., which is necessary for the proper program involvement and care of the above-mentioned participants.

I acknowledge that I am agreeing to these terms and conditions freely and voluntarily, and intend by my agreement for this to be a complete and unconditional release of all liability to the greatest extent allowed by law. I, as the parent/guardian of the minor participant(s), have explained to my son/daughter(s) the aforementioned stipulated conditions and their ramifications, and I consent to their participation in the programs conducted under by Toronto Circus Centre Inc.

I have read and agree to the Release of Liability

Signature *