APPLICATION FORM

Full Name
Parents Names
Age Date of Birth
Home Address
Email Address
Mobile No.
Emergency Contact Emergency No.
Allergies or Injuries?
If yes, please explain


WORKSHOP DAYS

  Mon Tues Wed Thurs Fri
Week 1
Week 2
 
Congratulations, you’re an “Early Bird” Your TOTAL is $
 
I will pay by Cheque
 EFT
 Credit card


(Read below for further information)

 


Thank you for your application to become a FrootLoop!
All classes are subject to availability.
Please contact Nina on 0424 700 714 if you have any further questions.

Please Note: There will be a further indemnity form for all parents to sign at the FrootLoop door
If you wish to download it now to print out and sign at home, click here for a PDF document. Sibling Discount does not apply in Early Bird Period.

Payment Options:
Cheque, EFT, Credit Card (Visa, Mastercard)

Cheque:
Please make cheques out to FrootLoop Circus Skool
Send Cheques to: PO Box 7433, Bondi Beach, 2026

Direct Deposit Details:
Name: Nina Carew
BSB: 112 879
Account No: 428 124 768

Credit Card Payments:
If you would like to pay by credit card, please call Nina on 0424 700 714.