Home
What we do and Student Requirments
Sign Up!
About Us
Contact
Home
What we do and Student Requirments
Sign Up!
About Us
Contact
Staff Information Form
*
Indicates required field
Staff Member's Full Name
*
Enter your full name.
Staff Member's Birthdate
*
Format MM/DD/YYYY
Staff Member's Age
*
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Adult
Select your age.
Staff Member's Phone Number
*
Enter a mobile number.
Staff Member's Email
*
Enter an email address.
Staff Member's Main Address
*
Line 1
Line 2
City
State
Zip Code
Country
The second address line may be left blank.
Staff Member's School
*
Enter your current school, if attending one.
Staff Member's District
*
Enter your current school district, if attending school.
Staff Member's Prior Experience
*
Enter any experiences in circus, dance, gymnastics, or martial arts.
Staff Member's Health Information
*
Enter any allergies, injuries, or other relevant health information.
Emergency Contact 1 Name
*
First
Last
Enter the name of one emergency contact.
Emergency Contact 1 Phone Number
*
Enter a phone number.
Emergency Contact 1 Email
*
Enter an email address.
Emergency Contact 2 Name
*
First
Last
Enter the name of another emergency contact if possible.
Emergency Contact 2 Phone Number
*
Enter a phone number.
Emergency Contact 2 Email
*
Enter an email address.
Emergency Contact 3 Name
*
First
Last
Enter the name of another emergency contact if possible.
Emergency Contact 3 Phone Number
*
Enter a phone number.
Emergency Contact 3 Email
*
Enter an email address.
Submit
