Gender—Please choose an option—MaleFemaleTransgenderNon-BinaryI Prefer Not To Not Say

Date Of Birth

Medical Condition—Please choose an option—ADHDAllergiesAnaphlaxisAsthmaAutismDiabetesEpilepsyHearing ImpairedHeart ConditionSpecial Needs

Referral Source—Please choose an option—FacebookInstagramFriendPrevious StudioWord Of Mouth

Photography Permission—Please choose an option—YesNoConfirmation Required

Class—Please choose an option—Acrobatics and tumble - Beginner / IntermediateAerials - Silks and lyra - Beginner / Intermediate5-7yrsJazz - Beginner / IntermediateTrampoline - Beginner / Intermediate5-7 yrs contemporary - Beginner / Intermediate8-10yrs jazz - Beginner / Intermediate8-10yrs contemporary - Beginner / IntermediateAcrobatic tricks - Beginner / Intermediate5-7yrs hip hop - Beginner / Intermediate5-10yrs jazz - Beginner / Intermediate5-10yrs contemporary - Beginner / IntermediateKindy gym- Beginner / IntermediateAcrobatic tricks Intermediate / AdvancedAerials - Silks and lyra Intermediate / AdvancedAcrobatics and tumble Intermediate / AdvancedTrampoline Intermediate / Advanced

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