Enrol Now

Roll up! Roll up!

and join the circus

Fill in your details and we’ll contact you to confirm your enrolment.

Location

Riverfront Event Space at Northshore 33 MacArthur Avenue, Hamilton 4007

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?*
Which Class?*
Hidden
Day
Field in development. Not required.
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
Name
First Last
Phone
Hidden
Primary Contact Person
Are you the primary contact for correspondence about invoices, workshops etc?*
- Yes
- No
Primary Contact Details
Please provide the contact details for the primary contact for invoices, workshop attendance etc.
Name
First Last
Email
Address
Street Address City Postal Code
Circus Participant 1
Which Class?*
Which Class?*
Hidden
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 1’s image being used?*
- Yes
- No
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?*
Hidden
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.

Unthink the impossible

book your free trial

TRY ONE OF OUR CLASSES AND DISCOVER IF IT'S THE PERFECT FIT FOR YOU

Roll up! Roll up!

and join the circus

Location

Enrolment Form

Class Selection

Individual Medical Details

Individual Marketing Consent

Emergency Contact Person

Primary Contact Person

Primary Contact Details

Circus Participant 1

Participant 1 Medical Details

Circus Participant 2

Participant 2 Medical Details

Circus Participant 3

Participant 3 Medical Details

Notes

IMPORTANT