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), Sep 10th – Dec 17th, 4:00 – 5:30 pm, Drop-in Only
– Tuesdays, East End location (1300 Gerrard Street E @ The Redwood), Sep 4th – Dec 18th, 4:00 – 5:30 pm, Drop-in Only
– Wednesdays, Leaside location (822 Millwood Road @ Leaside United Church), Sep 5th – Dec 19th, 4:00 – 5:30 pm, Drop-in Only
– Thursdays, East End location (1300 Gerrard Street E @ The Redwood), Sep 6th – Dec 20th, 4:00 – 5:30 pm, Drop-in Only
– Saturdays, Leaside location (822 Millwood Road @ Leaside United Church), Sep 8th – Dec 22nd, 9:00 – 10:30 am, Drop-in Only
– Drop-in rate per-class: $35 tax included

Winter Term, Jan – Mar 2019:

– Mondays (8 weeks), East End location (1300 Gerrard Street E @ The Redwood), Jan 7th – Mar 4th, 4:00 – 5:30 pm, $200 + HST
     – Monday scheduling note: no classes on Feb 18th (Family Day)
– Tuesdays (9 weeks), East End location (1300 Gerrard Street E @ The Redwood), Jan 8th – Mar 5th, 4:00 – 5:30 pm, $225 + HST
– Wednesdays (9 weeks), Leaside location (822 Millwood Road @ Leaside United Church), Jan 9th – Mar 6th, 4:00 – 5:30 pm, $225 + HST
– Thursdays (9 weeks), East End location (1300 Gerrard Street E @ The Redwood), Jan 10th – Mar 7th, 4:00 – 5:30 pm, $225 + HST
– Saturdays (9 weeks), Leaside location (822 Millwood Road @ Leaside United Church), Jan 12th – Mar 9th, 9:00 – 10:30 am, $225 + HST
– Drop-in rate per-class: $35 tax included

New! – After-School Pickup (East End only)

After-school pickup is available at Roden, Equinox and Duke of Connaught Schools. Children are met at the school and safely walked to the circus. Please send a snack. After-school pickup program cost is $5.00/day. Children must be enrolled in one of the following East End location 4pm classes eligible for pre-class pickup:
     – Kinder Cirque (ages 4-5) on Monday
     – Circus Club (ages 6-11) on Monday, Tuesday, or Thursday

After-School Pickup can be added as an option on the registration form below. The option to add Pickup will appear after an eligible Class Selection is made.

Toronto Circus Centre is not a licensed daycare provider

Circus Club Registration

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Session Dates

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

Class Selection *

MON, East End location, Jan 7 - Mar 4, 4-5:30 pm

TUES, East End location, Jan 8 - Mar 5, 4-5:30 pm

WEDS, Leaside location, Jan 9 - Mar 6, 4-5:30 pm

THURS, East End location, Jan 10 - Mar 7, 4-5:30 pm

SAT, Leaside location, Jan 12 - Mar 9, 9-10:30 am

Single Class Drop-in

If minimum class size is not met, TCC reserves the right to cancel class with advance notice and full refund. Drop-in spots open for both Fall 2018 and Winter 2019 terms. NOTE: no class on Monday, Feb 18th (Family Day)

After-School Pickup (Optional Add-on)

After-School Pickup Mondays, East End location, Jan 7 - Mar 4

After-School Pickup Tuesdays, East End location, Jan 8 - Mar 5

After-School Pickup Thursdays, East End location, Jan 10 - Mar 7

Select the day(s) you wish to add After-School Pickup. Price is $5/day + HST. Please note: new adds to school pickup must be submitted no less than two business days from the 1st pickup date to ensure pickup staff availability. NOTE: no class on Monday, Feb 18th (Family Day)

Drop-In Date *

Tell us date you wish to come for first drop-in class. Drop-In is not available in Summer.

Pickup Location * Roden Equinox Duke of Connaught

Select one of the schools eligible for pickup. If your child does not attend one of the listed schools, we are not able to offer pickup at this time.

Drop-In Location *

Leaside location: 822 Millwood Road @ Leaside United Church

East End location: 1300 Gerrard Street East @ The Redwood

Referral Information

How did you hear about us? *

Facebook

Twitter

Google search

Help We've Got Kids

Toronto4Kids

SNAP Newspaper

Bayview Chiropractic

Postcard in the mail

Leaside Life Magazine

OtherOther

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 * Parent Guardian Grandparent Other Relationship

Primary/Cell Phone *

Work Phone

Home Phone

Add Second Parent/Guardian Contact? *

Yes

No

Parent/Guardian Contact #2

Contact #2 First Name *

Last Name *

Relationship * Parent Guardian Grandparent Other 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 * Parent Guardian Grandparent Other 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 *

1

2

3

4

Student Details

Student First Name *

Last Name *

Date of Birth *

Gender *

School Name (if applicable)

Grade Level Preschool Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Other 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 Preschool Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Other 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 Preschool Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Other 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 Preschool Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Other 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. Preferred payment methods are Interac email transfer or cheque. We do not accept Tangerine payments. Credit card payment is accepted via Paypal, 4% processing fee will apply -- please contact us for details if you wish to pay with this option.

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 whole 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 before term begins, refund will be processed in full minus a $50 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. For classes missed for non-medical reasons, we will try to accommodate student(s) in a suitable alternate class at a different day/time. If no replacement class can be found, a prorated credit will apply for future classes. If student(s) will miss more than 15% of the classes in a term for non-medical reasons, pricing reverts to Drop-In Rates, with any amount(s) already paid crediting towards those Drop-In rate classes. All class credits must be used no later than the end of the term following the one wherein the credit was issued. If not used within this time, credit is fully forfeited.

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 also acknowledge that circus activities that are taught at Toronto Circus Centre are not to be engaged in outside of class or at any time without proper supervision by fully trained, competent circus coaches and professionals, given their dangerous nature and the risk of injury or death.

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 by TCC, either while engaged in TCC programming or at any place or time outside of the offered programming, 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 *

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